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

NPI Status: Active since June 22, 2007

Contact Information

114 GATEWAY CORPORATE BLVD
SUITE 425
COLUMBIA, SC
ZIP 29203
Phone: (803) 256-5300

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Psychiatry & Neurology
Forensic Psychiatry

About PROVIDENCE PSYCHIATRIC CONSULTS

This page provides the complete NPI Profile along with additional information for Providence Psychiatric Consults, a provider established in Columbia, South Carolina operating as a Psychiatry & Neurology, focusing in forensic psychiatry . The healthcare provider is registered in the NPI registry with number 1639375199 assigned on June 2007. The practitioner's primary taxonomy code is 2084F0202X with license number 19523 (SC). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Providence Psychiatric Consults. The authorized official of this NPI record is Mr. Jeremy W. Whitaker (Manager)

NPI: 1639375199
Provider Legal Name: AUGUSTINE HEALTH GROUP, LLC
Other Organization Name: PROVIDENCE PSYCHIATRIC CONSULTS
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 114 GATEWAY CORPORATE BLVD SUITE 425 COLUMBIA, SC 29203
Location Phone: (803) 256-5300
Mailing Address: PO BOX 60496 CHARLOTTE, NC 28260
Mailing Phone: (803) 256-5300
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 06-22-2007
Last Update Date: 04-29-2008
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Psychiatry & Neurology Forensic Psychiatry
Taxonomy Code: 2084F0202X
Type: Allopathic & Osteopathic Physicians
License No.: 19523
License State: SC
Taxonomy Description: 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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MR. JEREMY W. WHITAKER
Authorized Official Title: MANAGER
Authorized Official Phone: (806) 865-4798

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
7682	MEDICARE PIN (08)	SC
GP4739	MEDICAID (05)	SC

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	6	3	9	3	7	5	1	9	9
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	6	6	9	6	7	10	1	18
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 6 + 7 + 1 + 0 + 1 + 1 + 8 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 9									9

The NPI number 1639375199 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

ERIC STEVEN SPOTTS M.D.

Obstetrics & Gynecology

(Gynecology)

114 GATEWAY CORPORATE BLVD
SUITE 350
COLUMBIA, SC
ZIP 29203

About PROVIDENCE PSYCHIATRIC CONSULTS

Location Map

Specialty - Primary Taxonomy

Psychiatry & Neurology Forensic Psychiatry

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

Insurance Plans Accepted

Medicare

Medicaid

Authorized Official

MR. JEREMY W. WHITAKER

Additional Identifiers

Reviews for PROVIDENCE PSYCHIATRIC CONSULTS

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is AUGUSTINE HEALTH GROUP, LLC's NPI number?

Where is the provider located?

What is the provider's specialty?

What insurance does AUGUSTINE HEALTH GROUP, LLC accept?