ENVISION WELLNESS MEDICAL GROUP LLC
NPI 1710690912
Psychiatry & Neurology - Psychiatry in Columbia, SC

Active since January 03, 2023
4100 N MAIN ST STE 101, COLUMBIA, SC 29203(803) 256-0101(800) 854-3497 Get Directions Write a Review

NPPES record last updated: January 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Envision Wellness Medical Group Llc NPPES

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

ENVISION WELLNESS MEDICAL GROUP LLC (NPI 1710690912), doing business as Envision Wellness Medical Group Iop, is a healthcare organization registered as a psychiatry in Columbia, South Carolina and active in the NPI registry since January 2023. The organization lists Lisa Roberts, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1710690912
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameENVISION WELLNESS MEDICAL GROUP LLC
Location Address4100 N MAIN ST STE 101Columbia, SC 29203-5800
Mailing Address4100 N Main St Ste 101Columbia, SC 29203-5800 · (803) 256-0101 · Fax (800) 854-3497
Fax(800) 854-3497
Organization SubpartYesParent: Envision Wellness Medical Group Llc
Authorized OfficialLisa RobertsOffice Manager · (803) 256-0101
Enumeration DateJanuary 3, 2023
NPPES CertifiedJanuary 3, 2023
NPI 1710690912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
4100 N MAIN ST STE 101, Columbia, SC 29203

Other Names 1

Doing Business AsEnvision Wellness Medical Group Iop

Other Identifiers 1

MedicaidPC0151SC

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

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Psychiatry & Neurology (Child & Adolescent Psychiatry)
4100 N MAIN ST STE 101
COLUMBIA, SC 29203
Nurse Practitioner (Primary Care)
4100 N MAIN ST STE 101
COLUMBIA, SC 29203

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 Envision Wellness Medical Group LLC's NPI number?

The NPI number for Envision Wellness Medical Group LLC is 1710690912. It was assigned to this organization in the NPPES registry on January 3, 2023. The provider is doing business as Envision Wellness Medical Group IOP.

Where is Envision Wellness Medical Group LLC located?

Envision Wellness Medical Group LLC is located at 4100 N Main St Ste 101, Columbia, SC 29203. The listed phone number is (803) 256-0101.

What is Envision Wellness Medical Group LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

What insurance does Envision Wellness Medical Group LLC accept?

Health plans from BlueCross BlueShield of South Carolina list Envision Wellness Medical Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Envision Wellness Medical Group LLC was last updated on January 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.