PROVIDENCE PHYSICIAN PRACTICES LLC
NPI 1659921740
Internal Medicine in Kershaw, SC

Q: What is Providence Physician Practices LLC's NPI number?

The NPI number for Providence Physician Practices LLC is 1659921740. It was assigned to this organization in the NPPES registry on September 19, 2019.

Q: What is Providence Physician Practices LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since September 19, 2019

216 E MARION ST, KERSHAW, SC 29067(803) 475-3350(803) 475-5360 Get Directions Write a Review

NPPES record last updated: December 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 9, 2019, Sep 19, 2019 (2 updates tracked since 2019).

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About Providence Physician Practices Llc NPPES

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

PROVIDENCE PHYSICIAN PRACTICES LLC (NPI 1659921740) is a healthcare organization registered as an internal medicine in Kershaw, South Carolina and active in the NPI registry since September 2019. The organization lists Kathy Teague, Corporate Secretary, as its authorized official.

NPPES Registry Identity

NPI1659921740

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NamePROVIDENCE PHYSICIAN PRACTICES LLC

Location Address216 E MARION STKershaw, SC 29067-1442

Mailing Address330 Seven Springs WayBrentwood, TN 37027-5098 · (615) 920-7782 · Fax (615) 920-8775

Phone(803) 475-3350

Fax(803) 475-5360

Organization SubpartNo

Authorized OfficialKathy TeagueCorporate Secretary · (615) 920-7646

Enumeration DateSeptember 19, 2019

Last NPPES UpdateDecember 9, 20192 updates tracked since enumeration

✔ NPI 1659921740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedOptometristTaxonomy 152W00000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X

Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedOphthalmologyTaxonomy 207W00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X

216 E MARION ST, Kershaw, SC 29067

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACQUELYN S. GILL M.D

Internal Medicine