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

Q: What is the provider's specialty?

The provider's specialty is Psychiatry & Neurology with taxonomy code 2084F0202X and a focus in Forensic Psychiatry.

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: July 19, 2026.

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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

Phone(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

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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