OrganizationActive
Prisma Health Medical Group-Midlands
NPI 1457848848 · Developmental - Behavioral Pediatrics Physician · Columbia, SC
Provider details
- NPI number
- 1457848848
- Entity type
- Organization
- Primary specialty
- Developmental - Behavioral Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- James Ellis, Chief Integration Officer(803) 545-5048
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
9 Richland Medical Park Dr Ste 210
Columbia, SC 29203-6859
Phone: (803) 935-5604
Fax: (803) 434-1920
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 743904
Atlanta, GA 30374-3904
Other names (DBA / former)
- Other name
- Ph Medical Group Midlands
Registry dates
- Enumerated
- 2018-04-20
- Last updated
- 2020-09-11
- Certified
- 2020-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.