PROVIDENCE PSYCHIATRIC CONSULTS
NPI 1639375199
Psychiatry & Neurology - Forensic Psychiatry in Columbia, SC

Active since June 22, 2007
114 GATEWAY CORPORATE BLVD, SUITE 425, COLUMBIA, SC 29203(803) 256-5300 Get Directions Write a Review

NPPES record last updated: April 29, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Providence Psychiatric Consults NPPES

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

PROVIDENCE PSYCHIATRIC CONSULTS (NPI 1639375199) is a healthcare organization registered as a forensic psychiatry in Columbia, South Carolina and active in the NPI registry since June 2007. The organization lists Jeremy W. Whitaker, Manager, as its authorized official.

NPPES Registry Identity

NPI1639375199
Entity TypeOrganization
Primary Taxonomy2084F0202X
Legal Business NameAUGUSTINE HEALTH GROUP, LLC
Location Address114 GATEWAY CORPORATE BLVD, SUITE 425Columbia, SC 29203-9740
Mailing AddressPo Box 60496Charlotte, NC 28260-0496 · (803) 256-5300
Organization SubpartNo
Authorized OfficialJeremy W. WhitakerManager · (806) 865-4798
Enumeration DateJune 22, 2007
Last NPPES UpdateApril 29, 2008
NPI 1639375199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Forensic PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084F0202X
License Licensed in SC · 19523
Definition
Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals.
114 GATEWAY CORPORATE BLVD, Columbia, SC 29203

Other Names 1

Doing Business AsProvidence Psychiatric Consults

Other Identifiers 2

Medicare PIN7682SC
MedicaidGP4739SC

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.

Orthopaedic Surgery
114 GATEWAY CORPORATE BLVD, SUITE 110
COLUMBIA, SC 29203
Neurological Surgery
114 GATEWAY CORPORATE BLVD, SUITE 110
COLUMBIA, SC 29203
Nurse Practitioner (Women's Health)
114 GATEWAY CORPORATE BLVD, SUITE 120
COLUMBIA, SC 29203
Family Medicine
114 GATEWAY CORPORATE BLVD
COLUMBIA, SC 29203
Neurological Surgery
114 GATEWAY CORPORATE BLVD, SUITE 110
COLUMBIA, SC 29203
Internal Medicine
114 GATEWAY CORPORATE BLVD, SUITE 330
COLUMBIA, SC 29203
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
114 GATEWAY CORPORATE BLVD, SUITE 430
COLUMBIA, SC 29203
Audiologist
114 GATEWAY CORPORATE BLVD, SUITE 120
COLUMBIA, SC 29203

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 1639375199. It was assigned to this organization in the NPPES registry on June 22, 2007. The provider is doing business as Providence Psychiatric Consults.

Where is Augustine Health Group, LLC located?

Augustine Health Group, LLC is located at 114 Gateway Corporate Blvd Suite 425, Columbia, SC 29203. The listed phone number is (803) 256-5300.

What is Augustine Health Group, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Forensic Psychiatry, with taxonomy code 2084F0202X.

When was this NPI record last updated?

The NPPES record for Augustine Health Group, LLC was last updated on April 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.