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PROVIDENCE NORTHEAST FAMILY CARE AT LAKE CAROLINA
NPI 1750401451
Family Medicine in Columbia, SC

Active since March 29, 2007
300 LONG POINTE LN, SUITE 130, COLUMBIA, SC 29229(803) 462-7193(803) 462-7163 Get Directions Write a Review

NPPES record last updated: March 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Providence Northeast Family Care At Lake Carolina NPPES

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

PROVIDENCE NORTHEAST FAMILY CARE AT LAKE CAROLINA (NPI 1750401451) is a healthcare organization registered as a family medicine in Columbia, South Carolina and active in the NPI registry since March 2007. The organization lists Jeremy W Whitaker, Manager, as its authorized official.

NPPES Registry Identity

NPI1750401451
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAUGUSTINE HEALTH GROUP, LLC
Location Address300 LONG POINTE LN, SUITE 130Columbia, SC 29229-7543
Mailing AddressPo Box 60496Charlotte, NC 28260-0496 · (803) 462-7193
Phone(803) 462-7193
Fax(803) 462-7163
Organization SubpartNo
Authorized OfficialJeremy W WhitakerManager · (803) 865-4798
Enumeration DateMarch 29, 2007
Last NPPES UpdateMarch 7, 2008
✔ NPI 1750401451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
300 LONG POINTE LN, Columbia, SC 29229
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Other Names 1

Doing Business AsProvidence Northeast Family Care At Lake Carolina

Other Identifiers 2

Medicare PIN7682SC
MedicaidGP4545SC

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

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

EIKONGROUP
Home Health
300 LONG POINTE LN
COLUMBIA, SC 29229
Richland County (803) 730-4413

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 Augustine Health Group, LLC's NPI number?

The NPI number for Augustine Health Group, LLC is 1750401451. It was assigned to this organization in the NPPES registry on March 29, 2007. The provider is doing business as Providence Northeast Family Care At Lake Carolina.

Where is Augustine Health Group, LLC located?

Augustine Health Group, LLC is located at 300 Long Pointe Ln Suite 130, Columbia, SC 29229. The listed phone number is (803) 462-7193.

What is Augustine Health Group, 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 Augustine Health Group, LLC was last updated on March 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.