PROVIDENCE HEART – NPI #1396192001
Internal Medicine

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

PROVIDENCE HEART is a provider located in COLUMBIA, SC. NPPES has assigned the NPI number 1396192001 to PROVIDENCE HEART on May 23, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PROVIDENCE HEART” is a dba name, the actual legal business name for this organization is PROVIDENCE GROUP PRACTICES II, LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RI0011X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Interventional Cardiology

The NPI profile was previously updated about 6 years ago on Nov 23, 2020. 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 HEART below.

NPI Profile for
PROVIDENCE GROUP PRACTICES II, LLC

NPI Number
1396192001
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PROVIDENCE GROUP PRACTICES II, LLC
Doing Business As (dba): PROVIDENCE HEART
Primary location
1655 BERNARDIN AVE
STE 220
COLUMBIA, SC 29204-2039
Phone: (803) 409-7170 Fax: (803) 409-7175
Mailing address
330 SEVEN SPRINGS WAY STE 425
BRENTWOOD, TN 37027-5098
Phone: (615) 920-7000 Fax:
Organization Subpart
No
Authorized Official
KATHY TEAGUE
AVP, CORPORATE SECRETARY
Phone: (615) 920-7000
Updated
Certification Date
Nov 23, 2020

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.

Taxonomy Code(s)

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.

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.