PROVIDENCE PHYSICIAN PRACTICES LLC – NPI #1659921740
Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
PROVIDENCE PHYSICIAN PRACTICES LLC is a provider located in KERSHAW, SC. NPPES has assigned the NPI number 1659921740 to PROVIDENCE PHYSICIAN PRACTICES LLC on September 19, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.
The NPI profile was previously updated about 6 years ago on Dec 09, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROVIDENCE PHYSICIAN PRACTICES LLC below.
NPI Profile for
PROVIDENCE PHYSICIAN PRACTICES LLC
(more than 6 years ago)
KERSHAW, SC 29067-1442 Phone: (803) 475-3350 Fax: (803) 475-5360
BRENTWOOD, TN 37027-5098 Phone: (615) 920-7782 Fax: (615) 920-8775
CORPORATE SECRETARY
Phone: (615) 920-7646
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207R00000X - Internal Medicine (Primary) |
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| 363LG0600X - Nurse Practitioner / Gerontology |
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| 208000000X - Pediatrics |
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| 207W00000X - Ophthalmology |
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| 207V00000X - Obstetrics & Gynecology |
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| 207RE0101X - Internal Medicine / Endocrinology, Diabetes & Metabolism |
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| 207RC0000X - Internal Medicine / Cardiovascular Disease |
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| 207Q00000X - Family Medicine |
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| 152W00000X - Optometrist |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.