PROVIDENCE FAMILY PRACTICE LLC
NPI 1528066115
Family Medicine in Columbia, SC

Active since July 08, 2005CLIA 42D0249575 · Microscopy
2750 LAUREL ST, SUITE 103, COLUMBIA, SC 29204(803) 254-5171(803) 779-7403 Get Directions Write a Review

NPPES record last updated: June 23, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Providence Family Practice Llc NPPES

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

PROVIDENCE FAMILY PRACTICE LLC (NPI 1528066115) is a healthcare organization registered as a family medicine in Columbia, South Carolina and active in the NPI registry since July 2005. The organization holds a CLIA Microscopy certificate valid through July 2, 2028 and lists Frampton W Henderson, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1528066115
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROVIDENCE FAMILY PRACTICE LLC
Location Address2750 LAUREL ST, SUITE 103Columbia, SC 29204-2023
Mailing Address2750 Laurel St, Suite 103Columbia, SC 29204-2038 · (803) 254-5171 · Fax (803) 779-7403
Fax(803) 779-7403
Organization SubpartNo
Authorized OfficialFrampton W HendersonManaging Partner · (803) 254-5171
Enumeration DateJuly 8, 2005
Last NPPES UpdateJune 23, 2010
NPI 1528066115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in SC · 8387 Licensed in SC · 13507 Licensed in SC · 21987
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.
2750 LAUREL ST, Columbia, SC 29204

Other Identifiers 3

OtherCM5571SC · Railroad Medicare
Medicare PIN6050SC
MedicaidGP2164SC

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 MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 42D0249575

Providence Family Practice · Columbia, SC
Active · expires Jul 2, 2028
CLIA Number42D0249575
Laboratory TypePhysician Office
Certificate Effective DateJuly 3, 2026
Certificate Expiration DateJuly 2, 2028
Laboratory DirectorFrampton W. Henderson Jr
Laboratory Phone(803) 254-5171
Laboratory LocationProvidence Family Practice115 Blarney Drive Suite 212, Columbia, SC 29223
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

Internal Medicine
2750 LAUREL ST, SUITE 303
COLUMBIA, SC 29204
Physiological Laboratory
2750 LAUREL ST, SUITE 104
COLUMBIA, SC 29204
Dentist (Oral and Maxillofacial Surgery)
2750 LAUREL ST, STE 202
COLUMBIA, SC 29204
Ophthalmology
2750 LAUREL ST, SUITE 102
COLUMBIA, SC 29204
Internal Medicine (Gastroenterology)
2750 LAUREL ST, STE 201
COLUMBIA, SC 29204
Family Medicine
2750 LAUREL ST, 103
COLUMBIA, SC 29204
Family Medicine
2750 LAUREL ST, 103
COLUMBIA, SC 29204
Radiology (Diagnostic Radiology)
2750 LAUREL ST, SUITE 104
COLUMBIA, SC 29204

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 Family Practice LLC's NPI number?

The NPI number for Providence Family Practice LLC is 1528066115. It was assigned to this organization in the NPPES registry on July 8, 2005.

Where is Providence Family Practice LLC located?

Providence Family Practice LLC is located at 2750 Laurel St Suite 103, Columbia, SC 29204. The listed phone number is (803) 254-5171.

What is Providence Family Practice LLC's specialty?

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

Does Providence Family Practice LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 42D0249575) is associated with this NPI, valid through July 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Providence Family Practice LLC was last updated on June 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.