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PROVIDENCE CARDIOLOGY LLC
NPI 1336497742
Internal Medicine - Cardiovascular Disease in Columbia, SC

Active since August 16, 2012
114 GATEWAY CORPORATE BLVD, SUITE 330, COLUMBIA, SC 29203(803) 254-3278 Get Directions Write a Review

NPPES record last updated: August 16, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Providence Cardiology Llc NPPES

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

PROVIDENCE CARDIOLOGY LLC (NPI 1336497742) is a healthcare organization registered as a cardiovascular disease in Columbia, South Carolina and active in the NPI registry since August 2012. The organization lists Larry Ellis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1336497742
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NamePROVIDENCE CARDIOLOGY LLC
Location Address114 GATEWAY CORPORATE BLVD, SUITE 330Columbia, SC 29203-9740
Mailing Address2001 Laurel StColumbia, SC 29204-1018 · (803) 254-3278 · Fax (803) 376-8010
Phone(803) 254-3278
Organization SubpartYesParent: Providence Cardiology
Authorized OfficialLarry EllisCeo · (803) 254-3278
Enumeration DateAugust 16, 2012
✔ NPI 1336497742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
114 GATEWAY CORPORATE BLVD, Columbia, SC 29203
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Other Identifiers 1

Medicare PINA407SC

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

Other Providers at the Same Location NPPES 20

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

MIDLANDS ORTHOPAEDICS AND NEUROSURGERY, PA
Orthopaedic Surgery
114 GATEWAY CORPORATE BLVD, SUITE 110
COLUMBIA, SC 29203
Richland County (803) 256-4107
MIDLANDS ORTHOPAEDICS AND NEUROSURGERY, PA
Neurological Surgery
114 GATEWAY CORPORATE BLVD, SUITE 110
COLUMBIA, SC 29203
Richland County (803) 256-4107
MRS. SHARALYN J WILBURN WHNP
Nurse Practitioner (Women's Health)
114 GATEWAY CORPORATE BLVD, SUITE 120
COLUMBIA, SC 29203
Richland County (803) 865-4924
DR. ROGER KEVIN GRIGGS MD
Family Medicine
114 GATEWAY CORPORATE BLVD
COLUMBIA, SC 29203
Richland County (843) 792-1414
ARCIS HEALTHCARE
Neurological Surgery
114 GATEWAY CORPORATE BLVD, SUITE 110
COLUMBIA, SC 29203
Richland County (803) 256-4107
AUGUSTINE HEALTH GROUP, LLC
Internal Medicine
114 GATEWAY CORPORATE BLVD, SUITE 330
COLUMBIA, SC 29203
Richland County (803) 865-4514
DR. DANA ANTHONY RAWL M.D.
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
114 GATEWAY CORPORATE BLVD, SUITE 430
COLUMBIA, SC 29203
Richland County (803) 865-4923
MR. PETER WOOD WHITSON M.S.
Audiologist
114 GATEWAY CORPORATE BLVD, SUITE 120
COLUMBIA, SC 29203
Richland County (803) 509-7200

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 Providence Cardiology LLC's NPI number?

The NPI number for Providence Cardiology LLC is 1336497742. It was assigned to this organization in the NPPES registry on August 16, 2012.

Where is Providence Cardiology LLC located?

Providence Cardiology LLC is located at 114 Gateway Corporate Blvd Suite 330, Columbia, SC 29203. The listed phone number is (803) 254-3278.

What is Providence Cardiology LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Providence Cardiology LLC was last updated on August 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.