PROVIDENCE FAMILY MEDICINE CLEMSON ROAD
NPI 1053605196
Family Medicine in Columbia, SC

Q: What is Augustine Health Group's NPI number?

The NPI number for Augustine Health Group is 1053605196. It was assigned to this organization in the NPPES registry on June 7, 2011. The provider is doing business as Providence Family Medicine Clemson Road.

Q: What is Augustine Health Group's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 07, 2011

105 PROFESSIONAL PARK DRIVE, COLUMBIA, SC 29229(803) 865-4780(803) 865-4932 Get Directions Write a Review

NPPES record last updated: June 7, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Providence Family Medicine Clemson Road NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE FAMILY MEDICINE CLEMSON ROAD (NPI 1053605196) is a healthcare organization registered as a family medicine in Columbia, South Carolina and active in the NPI registry since June 2011. The organization lists Angela Haithcock, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1053605196

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameAUGUSTINE HEALTH GROUP

Location Address105 PROFESSIONAL PARK DRIVEColumbia, SC 29229

Mailing Address114 Gateway Corporate Blvd, Suite 425Columbia, SC 29203-9740 · (803) 865-4780 · Fax (803) 865-4932

Phone(803) 865-4780

Fax(803) 865-4932

Organization SubpartYesParent: Sisters Of Charity Providence Hospital

Authorized OfficialAngela HaithcockCredentialing Coordinator · (803) 865-4780

Enumeration DateJune 7, 2011

✔ NPI 1053605196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

105 PROFESSIONAL PARK DRIVE, Columbia, SC 29229

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Other Names 1

Doing Business AsProvidence Family Medicine Clemson Road

Other Identifiers 1

OtherDA2264SC · Railroad Medicare Group Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Augustine Health Group's NPI number?

The NPI number for Augustine Health Group is 1053605196. It was assigned to this organization in the NPPES registry on June 7, 2011. The provider is doing business as Providence Family Medicine Clemson Road.

Where is Augustine Health Group located?

Augustine Health Group is located at 105 Professional Park Drive, Columbia, SC 29229. The listed phone number is (803) 865-4780.

What is Augustine Health Group's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Augustine Health Group was last updated on June 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.