PROVIDENCE CARDIOLOGY
NPI 1790196293
Internal Medicine - Cardiovascular Disease in Columbia, SC

Q: What is Providence Cardiology LLC's NPI number?

The NPI number for Providence Cardiology LLC is 1790196293. It was assigned to this organization in the NPPES registry on May 19, 2014. The provider is also known as Providence Cardiology.

Q: What is Providence Cardiology LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Active since May 19, 2014

114 GATEWAY CORPORATE BLVD, SUITE 300, COLUMBIA, SC 29203(803) 254-3278(803) 376-8010 Get Directions Write a Review

NPPES record last updated: May 19, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Providence Cardiology NPPES

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

PROVIDENCE CARDIOLOGY (NPI 1790196293) is a healthcare organization registered as a cardiovascular disease in Columbia, South Carolina and active in the NPI registry since May 2014. The organization lists Larry R Ellis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1790196293

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NamePROVIDENCE CARDIOLOGY LLC

Location Address114 GATEWAY CORPORATE BLVD, SUITE 300Columbia, SC 29203-9740

Mailing Address2001 Laurel StColumbia, SC 29204-1018 · (803) 254-3278 · Fax (803) 376-8010

Phone(803) 254-3278

Fax(803) 376-8010

Organization SubpartNo

Authorized OfficialLarry R EllisCeo · (803) 254-3278

Enumeration DateMay 19, 2014

✔ NPI 1790196293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

114 GATEWAY CORPORATE BLVD, Columbia, SC 29203

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Other Names 1

Other NameProvidence Cardiology

Other Identifiers 1

Medicare PINA407SC

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.

MIDLANDS ORTHOPAEDICS AND NEUROSURGERY, PA

Orthopaedic Surgery

114 GATEWAY CORPORATE BLVD, SUITE 110
COLUMBIA, SC 29203

Richland County (803) 256-4107

MIDLANDS ORTHOPAEDICS AND NEUROSURGERY, PA

Neurological Surgery

114 GATEWAY CORPORATE BLVD, SUITE 110
COLUMBIA, SC 29203

Richland County (803) 256-4107

MRS. SHARALYN J WILBURN WHNP

Nurse Practitioner (Women's Health)

114 GATEWAY CORPORATE BLVD, SUITE 120
COLUMBIA, SC 29203

Richland County (803) 865-4924

DR. ROGER KEVIN GRIGGS MD

Family Medicine

114 GATEWAY CORPORATE BLVD
COLUMBIA, SC 29203

Richland County (843) 792-1414

ARCIS HEALTHCARE

Neurological Surgery

114 GATEWAY CORPORATE BLVD, SUITE 110
COLUMBIA, SC 29203

Richland County (803) 256-4107

AUGUSTINE HEALTH GROUP, LLC

Internal Medicine

114 GATEWAY CORPORATE BLVD, SUITE 330
COLUMBIA, SC 29203

Richland County (803) 865-4514

DR. DANA ANTHONY RAWL M.D.

Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)

114 GATEWAY CORPORATE BLVD, SUITE 430
COLUMBIA, SC 29203

Richland County (803) 865-4923

MR. PETER WOOD WHITSON M.S.

Audiologist

114 GATEWAY CORPORATE BLVD, SUITE 120
COLUMBIA, SC 29203

Richland County (803) 509-7200

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 Cardiology LLC's NPI number?

The NPI number for Providence Cardiology LLC is 1790196293. It was assigned to this organization in the NPPES registry on May 19, 2014. The provider is also known as Providence Cardiology.

Where is Providence Cardiology LLC located?

Providence Cardiology LLC is located at 114 Gateway Corporate Blvd Suite 300, Columbia, SC 29203. The listed phone number is (803) 254-3278.

What is Providence Cardiology LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Providence Cardiology LLC was last updated on May 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.