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PROVIDENCE NORTHEAST FAMILY CARE
NPI 1437279122
Family Medicine in Columbia, SC

Active since March 29, 2007
114 GATEWAY CORPORATE BLVD, SUITE 230, COLUMBIA, SC 29203(803) 788-2277(803) 788-6508 Get Directions Write a Review

NPPES record last updated: February 6, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Providence Northeast Family Care NPPES

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

PROVIDENCE NORTHEAST FAMILY CARE (NPI 1437279122) is a healthcare organization registered as a family medicine in Columbia, South Carolina and active in the NPI registry since March 2007. The organization lists Angela Haithcock, Project Manager, as its authorized official.

NPPES Registry Identity

NPI1437279122
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAUGUSTINE HEALTH GROUP, LLC
Location Address114 GATEWAY CORPORATE BLVD, SUITE 230Columbia, SC 29203-9740
Mailing AddressPo Box 601964Charlotte, NC 28260-1964 · (855) 477-2477 · Fax (216) 472-2740
Phone(803) 788-2277
Fax(803) 788-6508
Organization SubpartNo
Authorized OfficialAngela HaithcockProject Manager · (803) 865-4780
Enumeration DateMarch 29, 2007
Last NPPES UpdateFebruary 6, 2012
✔ NPI 1437279122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
114 GATEWAY CORPORATE BLVD, Columbia, SC 29203
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Other Names 1

Doing Business AsProvidence Northeast Family Care

Other Identifiers 2

Medicare PIN7682SC
MedicaidGP4383SC

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 Augustine Health Group, LLC's NPI number?

The NPI number for Augustine Health Group, LLC is 1437279122. It was assigned to this organization in the NPPES registry on March 29, 2007. The provider is doing business as Providence Northeast Family Care.

Where is Augustine Health Group, LLC located?

Augustine Health Group, LLC is located at 114 Gateway Corporate Blvd Suite 230, Columbia, SC 29203. The listed phone number is (803) 788-2277.

What is Augustine Health Group, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Augustine Health Group, LLC was last updated on February 6, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.