PH ORAL & MAXILLOFACIAL SURGERY
NPI 1295222503
Oral & Maxillofacial Surgery in Columbia, SC

Q: What is Prisma Health Medical Group-Midlands's NPI number?

The NPI number for Prisma Health Medical Group-Midlands is 1295222503. It was assigned to this organization in the NPPES registry on April 23, 2018. The provider is doing business as Ph Oral & Maxillofacial Surgery.

Q: What is Prisma Health Medical Group-Midlands's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Active since April 23, 2018

3304 FOREST DR, COLUMBIA, SC 29204(803) 434-6565(803) 434-6299 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 22, 2022, Jul 16, 2020, Jun 4, 2019 and 2 more (5 updates tracked since 2018).

On this page

About Ph Oral & Maxillofacial Surgery NPPES

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

PH ORAL & MAXILLOFACIAL SURGERY (NPI 1295222503) is a healthcare organization registered as an oral & maxillofacial surgery in Columbia, South Carolina and active in the NPI registry since April 2018. The organization lists Kristi Lawrence, Director Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1295222503

Entity TypeOrganization

Primary Taxonomy204E00000X

Legal Business NamePRISMA HEALTH MEDICAL GROUP-MIDLANDS

Location Address3304 FOREST DRColumbia, SC 29204-4024

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

Phone(803) 434-6565

Fax(803) 434-6299

Organization SubpartNo

Authorized OfficialKristi LawrenceDirector Provider Enrollment · (864) 797-6118

Enumeration DateApril 23, 2018

Last NPPES UpdateFebruary 22, 20225 updates tracked since enumeration

NPPES CertifiedFebruary 22, 2022

✔ NPI 1295222503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code204E00000X

Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

3304 FOREST DR, Columbia, SC 29204

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Other Names 1

Doing Business AsPh Oral & Maxillofacial Surgery

Other Identifiers 1

MedicaidZA8923SC

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ph Oral & Maxillofacial Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,464

Medicare enrollment records show 1,464 clinicians reassign Medicare billing to Ph Oral & Maxillofacial Surgery, which bills Medicare for the services they deliver. Of these, 890 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 63

Nurse Practitioner318

Emergency Medicine170

Hospitalist95

Family Practice91

Internal Medicine89

Pediatric Medicine84

Obstetrics/Gynecology54

Gastroenterology48

55 other specialties515

Nearest to this location (20)

See all 1,464

Johan Hernandez, M.D.

Family Practice

NPI 1669596789

3600 FOREST DR STE 300
Columbia, SC 29204

(803) 749-5101

✔ PECOS✔ Accepts Medicare0.3 mi

Rodrigo Miguel Maceda, MD

Family Practice

NPI 1467914457

3600 FOREST DR STE 300
Columbia, SC 29204

(803) 749-5101

✔ PECOS✔ Accepts Medicare0.3 mi

Hance Oliver, M.D.

Family Practice

NPI 1033175096

3600 FOREST DR STE 300
Columbia, SC 29204

(803) 749-5101

✔ PECOS✔ Accepts Medicare0.3 mi

Danna Thompson, M.D.

Family Practice

NPI 1922412642

3600 FOREST DR STE 300
Columbia, SC 29204

(803) 749-5101

✔ PECOS0.3 mi

Erin Wisbey-Martin, MD

Family Practice

NPI 1073725784

3600 FOREST DR STE 300
Columbia, SC 29204

(803) 749-5101

✔ PECOS✔ Accepts Medicare0.3 mi

Brandon Palmer, ACNP

Nurse Practitioner

NPI 1205134939

3700 FOREST DR STE 200
Columbia, SC 29204

(803) 799-1922

✔ PECOS✔ Accepts Medicare0.3 mi

Yasmeen Diaz-Ford

Family Practice

NPI 1205521390

3600 FOREST DR STE 300
Columbia, SC 29204

(803) 749-5101

✔ PECOS✔ Accepts Medicare0.3 mi

Shannon Gooding, MSN, FNP-C

Nurse Practitioner

NPI 1134570336

3710 LANDMARK DR STE 300
Columbia, SC 29204

(803) 898-1470

✔ PECOS0.4 mi

Stephanie Schaller, PPCNP

Nurse Practitioner

NPI 1386611424

3710 LANDMARK DR STE 300
Columbia, SC 29204

(803) 898-1470

✔ PECOS0.4 mi

Mulugeta Tarekegne, M.D.

Internal Medicine

NPI 1336105535

2719 MIDDLEBURG DR SUITE 201
Columbia, SC 29204

(803) 256-6828

✔ PECOS✔ Accepts Medicare0.6 mi

Zachary Hardy, M.D.

Emergency Medicine

NPI 1356791966

2435 FOREST DR
Columbia, SC 29204

(803) 865-4500

✔ PECOS✔ Accepts Medicare1.1 mi

Colin Widener, MD

Hospitalist

NPI 1760645899

2435 FOREST DR
Columbia, SC 29204

(803) 256-5855

✔ PECOS✔ Accepts Medicare1.1 mi

Justin Atwood, M.D.

Critical Care (Intensivists)

NPI 1790079085

2750 LAUREL ST STE 202
Columbia, SC 29204

(803) 865-4590

✔ PECOS✔ Accepts Medicare1.1 mi

Walter Bristow, MD

Gastroenterology

NPI 1407847023

2739 LAUREL ST 1-A
Columbia, SC 29204

(803) 799-4800

✔ PECOS✔ Accepts Medicare1.2 mi

Deangela Delaney, NP

Nurse Practitioner

NPI 1619351863

2739 LAUREL STREET
Columbia, SC 29205

(803) 799-4800

✔ PECOS✔ Accepts Medicare1.2 mi

Berthrand Onuoha, M.D.

Internal Medicine

NPI 1043504251

TAYLOR AT MARION
Columbia, SC 29220

(803) 296-5579

✔ PECOS✔ Accepts Medicare1.5 mi

Andrew Woldorf, MD

Ophthalmology

NPI 1376508176

4840 FOREST DR PMB #350
Columbia, SC 29206

(803) 790-9002

✔ PECOS1.6 mi

Lauren Chastain, MD

Psychiatry

NPI 1295392017

3555 HARDEN STREET EXT STE 141
Columbia, SC 29203

(803) 434-4300

✔ PECOS✔ Accepts Medicare1.7 mi

Juliet Glover, M.D.

Geriatric Psychiatry

NPI 1609073014

3555 HARDEN STREET EXT STE 141
Columbia, SC 29203

(803) 434-4300

✔ PECOS✔ Accepts Medicare1.7 mi

Hiluv Johnson, LISW-CP

Clinical Social Worker

NPI 1639848583

3555 HARDEN STREET EXT STE 141
Columbia, SC 29203

(803) 434-4300

✔ PECOS✔ Accepts Medicare1.7 mi

See all 1,464 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Prisma Health Medical Group-Midlands's NPI number?

The NPI number for Prisma Health Medical Group-Midlands is 1295222503. It was assigned to this organization in the NPPES registry on April 23, 2018. The provider is doing business as Ph Oral & Maxillofacial Surgery.

Where is Prisma Health Medical Group-Midlands located?

Prisma Health Medical Group-Midlands is located at 3304 Forest Dr, Columbia, SC 29204. The listed phone number is (803) 434-6565.

What is Prisma Health Medical Group-Midlands's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Prisma Health Medical Group-Midlands enrolled in Medicare?

Yes. Prisma Health Medical Group-Midlands is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prisma Health Medical Group-Midlands?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,464 clinicians in 63 Medicare specialties reassign their Medicare billing to Prisma Health Medical Group-Midlands. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (318), Emergency Medicine (170) and Hospitalist (95). Of these, 890 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Prisma Health Medical Group-Midlands was last updated on February 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.