MIDLANDS MEDICAL GROUP LLC – NPI #1902393549
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

MIDLANDS MEDICAL GROUP LLC is a provider located in COLUMBIA, SC. NPPES has assigned the NPI number 1902393549 to MIDLANDS MEDICAL GROUP LLC on April 19, 2018. 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 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 8 years ago on Aug 14, 2018. 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 MIDLANDS MEDICAL GROUP LLC below.

NPI Profile for
MIDLANDS MEDICAL GROUP LLC

NPI Number
1902393549
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
MIDLANDS MEDICAL GROUP LLC
Primary location
4531 HARD SCRABBLE RD
COLUMBIA, SC 29229
Phone: (803) 419-8700 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RONALD HARGRAVE
OWNER
Phone: (803) 419-8700
Updated
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
208D00000X
- General Practice (Primary)
363L00000X
- Nurse Practitioner
363A00000X
- Physician Assistant

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.