PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP
NPI 1205325883
Pediatrics - Pediatric Cardiology in Columbia, SC

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 2080P0202X and a focus in Pediatric Cardiology.

Active since May 09, 2018

9 RICHLAND MEDICAL PARK DR STE 110, COLUMBIA, SC 29203(803) 434-7940(803) 434-2262 Get Directions Write a Review

NPPES record last updated: May 9, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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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 1205325883) is a healthcare organization registered as a pediatric cardiology 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

NPI1205325883

Entity TypeOrganization

Primary Taxonomy2080P0202X

Legal Business NamePALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP

Location Address9 RICHLAND MEDICAL PARK DR STE 110Columbia, SC 29203-6859

Mailing AddressPo Box 743904Atlanta, GA 30374-3904 · (803) 296-7320 · Fax (803) 296-7330

Phone(803) 434-7940

Fax(803) 434-2262

Organization SubpartNo

Authorized OfficialWilliam D. Anderson Iii,Chief Medical Officer · (803) 545-5005

Enumeration DateMay 9, 2018

✔ NPI 1205325883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

9 RICHLAND MEDICAL PARK DR STE 110, 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 16

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

ELIZABETH DERKS

Dietitian, Registered