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

PROVIDENCE SURGICAL ASSOCIATES
NPI 1689034548
Surgery in Columbia, SC

Active since March 04, 2016
1655 BERNARDIN AVE, STE 110, COLUMBIA, SC 29204(803) 409-7130 Get Directions Write a Review

NPPES record last updated: February 22, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 22, 2017, Mar 4, 2016 (2 updates tracked since 2016).

About Providence Surgical Associates NPPES

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

PROVIDENCE SURGICAL ASSOCIATES (NPI 1689034548) is a healthcare organization registered as a surgery in Columbia, South Carolina and active in the NPI registry since March 2016. The organization lists Jess Judy, President, as its authorized official.

NPPES Registry Identity

NPI1689034548
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NamePROVIDENCE PHYSICIAN PRACTICES LLC
Location Address1655 BERNARDIN AVE, STE 110Columbia, SC 29204-2039
Mailing Address114 Gateway Corporate Blvd, Ste 425Columbia, SC 29203-9740 · (803) 865-4780
Phone(803) 409-7130
Organization SubpartNo
Authorized OfficialJess JudyPresident · (615) 920-7000
Enumeration DateMarch 4, 2016
Last NPPES UpdateFebruary 22, 20172 updates tracked since enumeration
✔ NPI 1689034548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedPlastic SurgeryTaxonomy 208200000X
Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X
1655 BERNARDIN AVE, Columbia, SC 29204
Open in Google Maps ↗

Other Names 1

Doing Business AsProvidence Surgical Associates

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 18

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

JEROME M. DAVIS MD
Anesthesiology
1655 BERNARDIN AVE, SUITE 350
COLUMBIA, SC 29204
Richland County (803) 865-4780
ASHRAF ALI CHATTHA M.D.
Internal Medicine (Nephrology)
1655 BERNARDIN AVE, SUITE 200
COLUMBIA, SC 29204
Richland County (803) 256-1137
PROVIDENCE PULMONARY SPECIALISTS, LLC
Internal Medicine (Pulmonary Disease)
1655 BERNARDIN AVE, SUITE 350
COLUMBIA, SC 29204
Richland County (803) 256-7575
PALMETTO CARDIOLOGY ASSOCIATES, PA
Specialist
1655 BERNARDIN AVE, SUITE 300
COLUMBIA, SC 29204
Richland County (803) 252-6644
ROBERT BRIAN HUFF MD
Ophthalmology
1655 BERNARDIN AVE, THE EYE CENTER PA STE 100
COLUMBIA, SC 29204
Richland County (803) 256-0641
DR. STEPHEN HARMES HUMPHREY M.D.
Internal Medicine (Cardiovascular Disease)
1655 BERNARDIN AVE, SUITE 220
COLUMBIA, SC 29204
Richland County (803) 254-5038
MR. DONALD SCOTT GRIFFIN PA-C
Physician Assistant (Medical)
1655 BERNARDIN AVE, SUITE 220
COLUMBIA, SC 29204
Richland County (803) 254-5038
MUHAMMAD MUHAMMAD ISLAM MD
Internal Medicine (Nephrology)
1655 BERNARDIN AVE, SUITE 200
COLUMBIA, SC 29204
Richland County (803) 256-1137

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 1689034548. It was assigned to this organization in the NPPES registry on March 4, 2016. The provider is doing business as Providence Surgical Associates.

Where is Providence Physician Practices LLC located?

Providence Physician Practices LLC is located at 1655 Bernardin Ave Ste 110, Columbia, SC 29204. The listed phone number is (803) 409-7130.

What is Providence Physician Practices LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Providence Physician Practices LLC was last updated on February 22, 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.