Prisma Health Medical Group-Midlands
Internal Medicine, Interventional Cardiology in Columbia, SC. Organization (NPI-2).
NPI number1003307166
StatusActive
Last updated in NPPESJun 10, 2026
Details
- NPI
- 1003307166
- Entity type
- Organization (NPI-2)
- Legal business name
- Prisma Health Medical Group-Midlands
- Organization subpart
- No
- Enumeration date
- May 24, 2018
- Certification date
- Jun 10, 2026
- Last updated
- Jun 10, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0011X | Internal Medicine, Interventional Cardiology | – | – | Yes |
| 363LA2100X | Nurse Practitioner, Acute Care | – | – | |
| 363LA2200X | Nurse Practitioner, Adult Health | – | – | |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – | |
| 363L00000X | Nurse Practitioner | – | – | |
| 207RC0001X | Internal Medicine, Clinical Cardiac Electrophysiology | – | – | |
| 363LG0600X | Nurse Practitioner, Gerontology | – | – |
Other names
- Ph Cardiology (Doing Business As)
Practice location
300 Palmetto Health Pkwy Ste 400Columbia, SC 29212-1764
Phone 803-765-0871
Mailing address
Po Box 743904Atlanta, GA 30374-3904
Phone 803-296-7320 · Fax 803-296-7330
Other practice locations
8 Richland Medical Park Dr
Columbia, SC 29203-8005
Columbia, SC 29203-8005
Phone 803-434-3800
Authorized official
Kristi Lawrence
Director, Cvo & Provider Enrollment
8645228611
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