1. Home
  2. Directory
  3. South Carolina
  4. Columbia
  5. Nurse Practitioner
  6. NPI Profile

PROVISION HEALTHCARE, LLC
NPI 1669968152
Nurse Practitioner - Family in Columbia, SC

Active since July 08, 2018
1320 MAIN ST STE 300, COLUMBIA, SC 29201(803) 373-0063 Get Directions Write a Review

NPPES record last updated: July 8, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Provision Healthcare, Llc NPPES

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

PROVISION HEALTHCARE, LLC (NPI 1669968152) is a healthcare organization registered as a family in Columbia, South Carolina and active in the NPI registry since July 2018. The organization maintains 2 additional practice locations and lists Lashonda S Tyler, Owner, as its authorized official.

NPPES Registry Identity

NPI1669968152
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePROVISION HEALTHCARE, LLC
Location Address1320 MAIN ST STE 300Columbia, SC 29201-3266
Mailing Address4611 Hard Scrabble Rd Ste 178Columbia, SC 29229-8584 · (803) 302-8205
Phone(803) 373-0063
Organization SubpartNo
Authorized OfficialLashonda S TylerOwner · (803) 302-8205
Enumeration DateJuly 8, 2018
✔ NPI 1669968152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in SC · BL015940-07-2018
1320 MAIN ST STE 300, Columbia, SC 29201
Open in Google Maps ↗

Secondary Practice Locations 2

Location 14611 Hard Scrabble Rd Ste 178Columbia, SC 29229-8584 · Phone (803) 373-0063
Location 210120 Two Notch Rd # 133Columbia, SC 29223-4395 · Phone (803) 373-0063

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.

LANDMARK MEDICAL OF TENNESSEE PC
General Practice
1320 MAIN ST STE 300
COLUMBIA, SC 29201
Richland County (657) 400-5180
CHRISTINA NANCY MANFREDINI
Behavior Technician
1320 MAIN ST STE 300
COLUMBIA, SC 29201
Richland County (888) 880-9270
ALEXIS LORRAINE SHAKESPAERE
Assistant Behavior Analyst
1320 MAIN ST STE 300
COLUMBIA, SC 29201
Richland County (855) 832-6727
JACINTA PARRIS
Behavior Technician
1320 MAIN ST STE 300
COLUMBIA, SC 29201
Richland County (877) 418-2978
LEMONICA LORRAINE MCLEOD
Assistant Behavior Analyst
1320 MAIN ST STE 300
COLUMBIA, SC 29201
Richland County (855) 832-6727
THE STEPPING STONES GROUP, LLC
Counselor (Professional)
1320 MAIN ST STE 300
COLUMBIA, SC 29201
Richland County (803) 769-8263
MICAIAH JOSEPH OLKOWSKI BCBA
Behavior Analyst
1320 MAIN ST STE 300
COLUMBIA, SC 29201
Richland County (877) 418-2978
MACKENZIE A BROCK
Behavior Technician
1320 MAIN ST STE 300
COLUMBIA, SC 29201
Richland County (877) 418-2978

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 Provision Healthcare, LLC's NPI number?

The NPI number for Provision Healthcare, LLC is 1669968152. It was assigned to this organization in the NPPES registry on July 8, 2018.

Where is Provision Healthcare, LLC located?

Provision Healthcare, LLC is located at 1320 Main St Ste 300, Columbia, SC 29201. The listed phone number is (803) 373-0063.

What is Provision Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Provision Healthcare, LLC was last updated on July 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.