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PROVIDENCE PROFESSIONAL SERVICES LLC
NPI 1659818599
Emergency Medicine in Columbia, SC

Active since January 30, 2017
2435 FOREST DR, COLUMBIA, SC 29204(615) 920-7514 Get Directions Write a Review

NPPES record last updated: January 30, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Providence Professional Services Llc NPPES

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

PROVIDENCE PROFESSIONAL SERVICES LLC (NPI 1659818599) is a healthcare organization registered as an emergency medicine in Columbia, South Carolina and active in the NPI registry since January 2017. The organization lists Sara Miller, Director, as its authorized official.

NPPES Registry Identity

NPI1659818599
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NamePROVIDENCE PROFESSIONAL SERVICES LLC
Location Address2435 FOREST DRColumbia, SC 29204-2026
Mailing Address330 Seven Springs WayBrentwood, TN 37027-5098 · (615) 920-7514
Phone(615) 920-7514
Organization SubpartNo
Authorized OfficialSara MillerDirector · (615) 920-7514
Enumeration DateJanuary 30, 2017
✔ NPI 1659818599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2435 FOREST DR, Columbia, SC 29204
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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

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.

PROVIDENCE HOSPITAL, LLC
General Acute Care Hospital
2435 FOREST DR
COLUMBIA, SC 29204
Richland County (803) 256-5300
DIANNE JENKINS
Nurse Anesthetist, Certified Registered
2435 FOREST DR, 7TH FLOOR
COLUMBIA, SC 29204
Richland County (803) 454-2613
ERIK MYHRER MD
Emergency Medicine
2435 FOREST DR
COLUMBIA, SC 29204
Richland County (803) 256-5300
JOSEPH SELIG MORSE FNP-C
Nurse Practitioner
2435 FOREST DR
COLUMBIA, SC 29204
Richland County (864) 314-9027
HOLLY GORDON KEELS RRT
Respiratory Therapist, Registered
2435 FOREST DR
COLUMBIA, SC 29204
Richland County (803) 256-5300
PROVIDENCE PHYSICIAN PRACTICES LLC
Radiology (Diagnostic Radiology)
2435 FOREST DR
COLUMBIA, SC 29204
Richland County (803) 256-5300
MRS. SMITA PATEL CST
Specialist/Technologist, Other (Surgical Assistant)
2435 FOREST DR
COLUMBIA, SC 29204
Richland County (803) 638-1399
MS. MARYANNE SHULTZ
Pharmacy Technician
2435 FOREST DR
COLUMBIA, SC 29204
Richland County (803) 256-5382

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 Professional Services LLC's NPI number?

The NPI number for Providence Professional Services LLC is 1659818599. It was assigned to this organization in the NPPES registry on January 30, 2017.

Where is Providence Professional Services LLC located?

Providence Professional Services LLC is located at 2435 Forest Dr, Columbia, SC 29204. The listed phone number is (615) 920-7514.

What is Providence Professional Services LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Providence Professional Services LLC was last updated on January 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.