PRISMA HEALTH MEDICAL GROUP-MIDLANDS – NPI #1447749510
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

PRISMA HEALTH MEDICAL GROUP-MIDLANDS is a surgeon located in SUMTER, SC. NPPES has assigned the NPI number 1447749510 to PRISMA HEALTH MEDICAL GROUP-MIDLANDS on May 04, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. PRISMA HEALTH MEDICAL GROUP-MIDLANDS is also known by the name PH MEDICAL GROUP MIDLANDS. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was previously updated about 5 years ago on Dec 18, 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 PRISMA HEALTH MEDICAL GROUP-MIDLANDS below.

NPI Profile for
PRISMA HEALTH MEDICAL GROUP-MIDLANDS

NPI Number
1447749510
Enumeration Date

(more than 8 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
PRISMA HEALTH MEDICAL GROUP-MIDLANDS
Other Name: PH MEDICAL GROUP MIDLANDS
Primary location
115 N SUMTER ST STE 115
SUMTER, SC 29150-4968
Phone: (803) 774-7546 Fax: (803) 774-9735
1 Other location(s):
738 W Liberty St Ste A
Sumter, SC 29150-4745
Phone: (803) 775-6374
Mailing address
PO BOX 743904
ATLANTA, GA 30374-3904
Phone: (803) 296-7320 Fax: (803) 296-7330
Organization Subpart
No
Authorized Official
KRISTI LAWRENCE
DIRECTOR PROVIDER ENROLLMENT
Phone: (864) 797-6118
Updated
Certification Date
Dec 18, 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.

Identifiers

Identifiers for PRISMA HEALTH MEDICAL GROUP-MIDLANDS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDSCGP8508
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.

Taxonomy Classification / Specialization State License
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)
SC
207Q00000X
- Family Medicine

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.