PH MEDICAL GROUP MIDLANDS
NPI 1285678078
Pediatrics - Pediatric Infectious Diseases in Columbia, SC
NPI Status: Active since June 15, 2006
Contact Information
9 RICHLAND MEDICAL PARK DR STE 410
COLUMBIA, SC
ZIP 29203
Phone: (803) 434-7995
Fax: (803) 434-7983
- Organization
- Pediatrics
- Pediatric Infectious Diseases
- Accepts Insurance
- CLIA Number: 42D2299009
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-12-2026
About PH MEDICAL GROUP MIDLANDS
This page provides the complete NPI Profile along with additional information for Ph Medical Group Midlands, a pediatrician established in Columbia, South Carolina operating as a Pediatrics, focusing in pediatric infectious diseases . The healthcare provider is registered in the NPI registry with number 1285678078 assigned on June 2006. The practitioner's primary taxonomy code is 2080P0208X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's other name is Ph Medical Group Midlands. The authorized official of this NPI record is James Ellis (Chief Integration Officer)
- NPI
- 1285678078
- Provider Legal Name
- PRISMA HEALTH MEDICAL GROUP-MIDLANDS
- Other Organization Name
- PH MEDICAL GROUP MIDLANDS
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 9 RICHLAND MEDICAL PARK DR STE 410 COLUMBIA, SC 29203
- Location Phone
- (803) 434-7995
- Location Fax
- (803) 434-7983
- Mailing Address
- PO BOX 743904 ATLANTA, GA 30374
- Mailing Phone
- (803) 296-7032
- Mailing Fax
- (803) 434-7983
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-15-2006
- Last Update Date
- 09-11-2020
- Code Navigator
A pediatrician like Ph Medical Group Midlands is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Pediatric Infectious Diseases
- Taxonomy Code
- 2080P0208X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Direction Silver 1 - POS
- Blue Direction Silver 1 + Adult Vision - POS
- Blue Direction Silver 2 - POS
- Blue Direction Standard Gold - POS
- Blue Direction Standard Silver - POS
- Blue VirtuConnect Bronze 1 - EPO
- Blue VirtuConnect Gold 1 - EPO
- Blue VirtuConnect Silver 1 - EPO
- BlueEssentials Bronze 4 - EPO
- BlueEssentials Bronze 6 - EPO
- BlueEssentials Catastrophic 1 - EPO
- BlueEssentials Gold 1 - EPO
- BlueEssentials Gold 5 - EPO
- BlueEssentials Silver 14 - EPO
- BlueEssentials Silver 14 + Adult Vision - EPO
- BlueEssentials Silver 39 - EPO
- BlueEssentials Standard Expanded Bronze - EPO
- BlueEssentials Standard Gold - EPO
- BlueEssentials Standard Silver - EPO
- BlueExtend PPO HD Bronze 1 - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| OPAC03 | MEDICAID (05) | SC |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 42D2299009
- Facility Type
- Physician Office
- Certificate Effective Date
- February 13, 2024
- Certificate Expiration Date
- February 12, 2026
- Laboratory Director
- DR. LEE CARSON SMITH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Ph Medical Group Midlands to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for PH MEDICAL GROUP MIDLANDS
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 8 | 5 | 6 | 7 | 8 | 0 | 7 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 12 | 7 | 16 | 0 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 1 + 2 + 7 + 1 + 6 + 0 + 1 + 4 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1285678078 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
DR. COLLEEN ANN WUNDERLICH M.D., MSC
Physical Medicine & Rehabilitation
(Pediatric Rehabilitation Medicine)
9 RICHLAND MEDICAL PARK DR STE 410
COLUMBIA, SC
ZIP 29203
MATTHEW MACCARTHY
Physical Medicine & Rehabilitation
(Pediatric Rehabilitation Medicine)
9 RICHLAND MEDICAL PARK DR STE 410
COLUMBIA, SC
ZIP 29203
JODI DINGLE M.D.
Pediatrics
(Pediatric Rheumatology)
9 RICHLAND MEDICAL PARK DR STE 410
COLUMBIA, SC
ZIP 29203
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285678078, enumerated as an "organization" on June 15, 2006.
The provider is located at 9 RICHLAND MEDICAL PARK DR STE 410 COLUMBIA, SC 29203 and the phone number is (803) 434-7995.
Pediatrics with taxonomy code 2080P0208X and a focus in Pediatric Infectious Diseases.
The provider might be accepting Accepts: BlueCross BlueShield of South Carolina, Medicare. Please consult your insurance carrier or call the provider to verify.
