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PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP
NPI 1154811651
Surgery - Pediatric Surgery in Columbia, SC

Active since May 10, 2018
9 RICHLAND MEDICAL PARK DR STE 500, COLUMBIA, SC 29203(803) 434-4555(803) 434-4599 Get Directions Write a Review

NPPES record last updated: May 10, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Palmetto Health - University Of South Carolina Medical Group NPPES

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

PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP (NPI 1154811651) is a healthcare organization registered as a pediatric surgery in Columbia, South Carolina and active in the NPI registry since May 2018. The organization lists William D. Anderson Iii,, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1154811651
Entity TypeOrganization
Primary Taxonomy2086S0120X
Legal Business NamePALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP
Location Address9 RICHLAND MEDICAL PARK DR STE 500Columbia, SC 29203-6870
Mailing AddressPo Box 743904Atlanta, GA 30374-3904 · (803) 296-7320 · Fax (803) 296-7330
Phone(803) 434-4555
Fax(803) 434-4599
Organization SubpartNo
Authorized OfficialWilliam D. Anderson Iii,Chief Medical Officer · (803) 545-5005
Enumeration DateMay 10, 2018
✔ NPI 1154811651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
9 RICHLAND MEDICAL PARK DR STE 500, Columbia, SC 29203
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Other Identifiers 1

MedicaidGP7530SC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH M BERG CPNP
Nurse Practitioner (Pediatrics)
9 RICHLAND MEDICAL PARK DR STE 500
COLUMBIA, SC 29203
Richland County (803) 434-4555
BRANDI MARTINEZ APRN, FNP-BC
Nurse Practitioner (Family)
9 RICHLAND MEDICAL PARK DR STE 500
COLUMBIA, SC 29203
Richland County (803) 434-4555
MALENA WENNING SARDO
Nurse Practitioner (Family)
9 RICHLAND MEDICAL PARK DR STE 500
COLUMBIA, SC 29203
Richland County (803) 344-4555
DR. VARUN KUMAR BHALLA M.D.
Surgery
9 RICHLAND MEDICAL PARK DR STE 500
COLUMBIA, SC 29203
Richland County (803) 434-4555
RODRIGO MON MD
Surgery
9 RICHLAND MEDICAL PARK DR STE 500
COLUMBIA, SC 29203
Richland County (803) 434-4555
DR. FRANK JOHN PENNA III M.D.
Urology (Pediatric Urology)
9 RICHLAND MEDICAL PARK DR STE 500
COLUMBIA, SC 29203
Richland County (803) 434-2833
DR. BHAIRAV V SHAH MD
Surgery (Pediatric Surgery)
9 RICHLAND MEDICAL PARK DR STE 500
COLUMBIA, SC 29203
Richland County (803) 434-4555
REBEKAH ANN BLANKENSHIP PA-C
Physician Assistant
9 RICHLAND MEDICAL PARK DR STE 500
COLUMBIA, SC 29203
Richland County (803) 434-4555

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 Palmetto Health - University Of South Carolina Medical Group's NPI number?

The NPI number for Palmetto Health - University Of South Carolina Medical Group is 1154811651. It was assigned to this organization in the NPPES registry on May 10, 2018.

Where is Palmetto Health - University Of South Carolina Medical Group located?

Palmetto Health - University Of South Carolina Medical Group is located at 9 Richland Medical Park Dr Ste 500, Columbia, SC 29203. The listed phone number is (803) 434-4555.

What is Palmetto Health - University Of South Carolina Medical Group's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

When was this NPI record last updated?

The NPPES record for Palmetto Health - University Of South Carolina Medical Group was last updated on May 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.