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PROVIDENCE PHYSICIAN PRACTICES LLC
NPI 1689030595
Family Medicine in Columbia, SC

Active since January 07, 2016
2001 LAUREL ST, STE 300, COLUMBIA, SC 29204(803) 254-2786 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 13, 2021, Feb 22, 2017, Feb 8, 2016 (3 updates tracked since 2016).

About Providence Physician Practices Llc NPPES

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

PROVIDENCE PHYSICIAN PRACTICES LLC (NPI 1689030595) is a healthcare organization registered as a family medicine in Columbia, South Carolina and active in the NPI registry since January 2016. The organization lists Kathy Teague, Avp, Secretary, as its authorized official.

NPPES Registry Identity

NPI1689030595
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROVIDENCE PHYSICIAN PRACTICES LLC
Location Address2001 LAUREL ST, STE 300Columbia, SC 29204-1018
Mailing Address114 Gateway Corporate Blvd, Ste 425Columbia, SC 29203-9740 · (803) 865-4780
Phone(803) 254-2786
Organization SubpartNo
Authorized OfficialKathy TeagueAvp, Secretary · (615) 920-7000
Enumeration DateJanuary 7, 2016
Last NPPES UpdateJanuary 13, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2021
✔ NPI 1689030595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedSurgeryTaxonomy 208600000X
2001 LAUREL ST, Columbia, SC 29204
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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 20

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

BRENDA LIGON MPA-C
Physician Assistant (Medical)
2001 LAUREL ST
COLUMBIA, SC 29204
Richland County (803) 254-3278
BARRETT C SHILO PA
Physician Assistant (Surgical)
2001 LAUREL ST
COLUMBIA, SC 29204
Richland County (803) 254-3278
JOSEPH MICHAEL BARONE III NP
Nurse Practitioner (Acute Care)
2001 LAUREL ST
COLUMBIA, SC 29204
Richland County (803) 365-8346
LANNEAU D LIDE JR. MD
Internal Medicine (Interventional Cardiology)
2001 LAUREL ST
COLUMBIA, SC 29204
Richland County (803) 254-3278
BASHIR A LONE MD
Internal Medicine (Interventional Cardiology)
2001 LAUREL ST
COLUMBIA, SC 29204
Richland County (803) 254-3278
MRS. JAMIE D CUNNINGHAM ACNP
Nurse Practitioner (Acute Care)
2001 LAUREL ST
COLUMBIA, SC 29204
Richland County (803) 254-3278
PROVIDENCE CARDIOLOGY LLC
Internal Medicine (Cardiovascular Disease)
2001 LAUREL ST
COLUMBIA, SC 29204
Richland County (803) 254-3278
MEGHAN BRANTLEY BLANCHETTE FNP-C
Nurse Practitioner (Family)
2001 LAUREL ST
COLUMBIA, SC 29204
Richland County (843) 792-9200

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 Physician Practices LLC's NPI number?

The NPI number for Providence Physician Practices LLC is 1689030595. It was assigned to this organization in the NPPES registry on January 7, 2016.

Where is Providence Physician Practices LLC located?

Providence Physician Practices LLC is located at 2001 Laurel St Ste 300, Columbia, SC 29204. The listed phone number is (803) 254-2786.

What is Providence Physician Practices LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Providence Physician Practices LLC was last updated on January 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.