PROVIDENCE INTERNAL MEDICINE
NPI 1518087287
Internal Medicine in Columbia, SC

NPI Status: Active since March 29, 2007

Contact Information

1655 BERNARDIN AVE
SUITE 110
COLUMBIA, SC
ZIP 29204
Phone: (803) 254-4056
Fax: (803) 254-4120

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  • Organization
  • Internal Medicine

About PROVIDENCE INTERNAL MEDICINE

This page provides the complete NPI Profile along with additional information for Providence Internal Medicine, an internist established in Columbia, South Carolina operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1518087287 assigned on March 2007. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Providence Internal Medicine. The authorized official of this NPI record is Mr. Jeremy W. Whitaker Cpc (Manager)

NPI
1518087287
Provider Legal Name
AUGUSTINE HEALTH GROUP, LLC
Other Organization Name
PROVIDENCE INTERNAL MEDICINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1655 BERNARDIN AVE SUITE 110 COLUMBIA, SC 29204
Location Phone
(803) 254-4056
Location Fax
(803) 254-4120
Mailing Address
PO BOX 60496 CHARLOTTE, NC 28260
Mailing Phone
(803) 254-4056
Mailing Fax
(803) 254-4120
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-29-2007
Last Update Date
03-07-2008
Code Navigator

An internist like Providence Internal Medicine is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JEREMY W. WHITAKER CPC

Authorized Official Title
MANAGER
Authorized Official Phone
(803) 865-4798

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
GP4662MEDICAID (05)SC 
7682MEDICARE PIN (08)SC 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1518087287
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25280814216
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 2 + 8 + 0 + 8 + 1 + 4 + 2 + 1 + 6 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1518087287 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235138819DR. STEPHEN HARMES HUMPHREY M.D.
Individual
Internal Medicine (Cardiovascular Disease)1655 BERNARDIN AVE SUITE 220
COLUMBIA, SC 29204
(803) 254-5038
1306835178MR. DONALD SCOTT GRIFFIN PA-C
Individual
Physician Assistant (Medical)1655 BERNARDIN AVE SUITE 220
COLUMBIA, SC 29204
(803) 254-5038
1487610697 EZRA B RIBER M.D.
Individual
Pain Medicine (Interventional Pain Medicine)1655 BERNARDIN AVE SUITE 240
COLUMBIA, SC 29204
(803) 779-3263
1114976008PALMETTO CARDIOLOGY ASSOCIATES, PA
Organization
Specialist1655 BERNARDIN AVE SUITE 300
COLUMBIA, SC 29204
(803) 252-6644
1134157779 ROBERT BRIAN HUFF MD
Individual
Ophthalmology1655 BERNARDIN AVE THE EYE CENTER PA STE 100
COLUMBIA, SC 29204
(803) 256-0641
1366531568 MUHAMMAD MUHAMMAD ISLAM MD
Individual
Internal Medicine (Nephrology)1655 BERNARDIN AVE SUITE 200
COLUMBIA, SC 29204
(803) 256-1137
1952482903CAROLINA KIDNEY SPECIALISTS, LLC
Organization
Internal Medicine (Nephrology)1655 BERNARDIN AVE SUITE 200
COLUMBIA, SC 29204
(803) 256-1137
1538345004DR. MATTHEW TODD CLARY M.D.
Individual
Ophthalmology1655 BERNARDIN AVE SUITE 100
COLUMBIA, SC 29204
(803) 256-0641
1073833489PROVIDENCE PULMONARY SPECIALISTS, LLC
Organization
Internal Medicine (Pulmonary Disease)1655 BERNARDIN AVE SUITE 350
COLUMBIA, SC 29204
(803) 256-7575
1073555983 ASHRAF ALI CHATTHA M.D.
Individual
Internal Medicine (Nephrology)1655 BERNARDIN AVE SUITE 200
COLUMBIA, SC 29204
(803) 256-1137
1801998000 MICHAEL J ROBICHAUD P.A.
Individual
Physician Assistant (Surgical)1655 BERNARDIN AVE SUITE 240
COLUMBIA, SC 29204
(803) 779-3263
1568899581AUGUSTINE HEALTH GROUP
Organization
Surgery1655 BERNARDIN AVE SUITE 110
COLUMBIA, SC 29204
(803) 409-7130
1053370361 JEROME M. DAVIS MD
Individual
Anesthesiology1655 BERNARDIN AVE SUITE 350
COLUMBIA, SC 29204
(803) 865-4780
1790143766PROVIDENCE PHYSICIAN PRACTICES LLC
Organization
Internal Medicine (Pulmonary Disease)1655 BERNARDIN AVE STE 350
COLUMBIA, SC 29204
(803) 253-7575
1689034548PROVIDENCE PHYSICIAN PRACTICES LLC
Organization
Surgery1655 BERNARDIN AVE STE 110
COLUMBIA, SC 29204
(803) 409-7130
1396192001PROVIDENCE GROUP PRACTICES II, LLC
Organization
Internal Medicine (Interventional Cardiology)1655 BERNARDIN AVE STE 220
COLUMBIA, SC 29204
(803) 409-7170
1831289123 GOKUL GONDI MD
Individual
Anesthesiology1655 BERNARDIN AVE SUITE 350
COLUMBIA, SC 29204
(803) 865-4780

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518087287, enumerated in the NPI registry as an "organization" on March 29, 2007

The provider is located at 1655 Bernardin Ave Suite 110 Columbia, Sc 29204 and the phone number is (803) 254-4056

This medical organization specializes in Internal Medicine with taxonomy code 207R00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 29, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.