PH DENTISTRY
NPI 1417442864
Dentist - Oral and Maxillofacial Surgery in Columbia, SC
About Ph Dentistry NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PH DENTISTRY (NPI 1417442864) is a healthcare organization registered as an oral and maxillofacial surgery in Columbia, South Carolina and active in the NPI registry since June 2018. The organization lists Kristi Lawrence, Director, Provider Enrollment, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
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 Dentistry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
1,464Medicare enrollment records show 1,464 clinicians reassign Medicare billing to Ph Dentistry, which bills Medicare for the services they deliver. Of these, 158 practice at this address and 901 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 63
Nearest to this location (20)
See all 1,464Columbia, SC 29203
Columbia, SC 29203
Columbia, SC 29203
Columbia, SC 29203
Columbia, SC 29203
Columbia, SC 29203
Columbia, SC 29203
Columbia, SC 29203
Columbia, SC 29203
Columbia, SC 29203
Columbia, SC 29203
Columbia, SC 29203
Columbia, SC 29203
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 1417442864. It was assigned to this organization in the NPPES registry on June 28, 2018. The provider is doing business as Ph Dentistry.
Where is Prisma Health Medical Group-Midlands located?
Prisma Health Medical Group-Midlands is located at 10 Richland Medical Park Dr Ste A, Columbia, SC 29203. 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 Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
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, 158 practice at this address and 901 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Prisma Health Medical Group-Midlands accept?
Health plans from BlueCross BlueShield of South Carolina list Prisma Health Medical Group-Midlands as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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.
# Ph Dentistry · NPI 1417442864
Oral and Maxillofacial Surgery organization in Columbia, South Carolina. Organization record, active in the CMS NPPES registry since June 28, 2018.
## Identity
- **NPI:** 1417442864 (Entity type: Organization)
- **Enumerated:** June 28, 2018
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **Legal business name:** Prisma Health Medical Group-Midlands
- **Organization subpart:** No
- **Authorized official:** Kristi Lawrence, DIRECTOR, PROVIDER ENROLLMENT
## Practice location
- **Address:** 10 RICHLAND MEDICAL PARK DR STE A, Columbia, SC 29203-6892
- **Phone:** (803) 434-6565
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1,464 clinicians in 63 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (318), Emergency Medicine (170), Hospitalist (95); 158 practice at this address and 901 within 10 miles; [full list](https://npiprofile.com/npi/1417442864/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 22, 2022
- **Other identifiers:** Medicaid ZA8984 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1417442864) · Data from the CMS NPPES public registry.