Providence Physician Practices LLC
NPI 1558710376 · Internal Medicine Physician · Irmo, SC
Providence Physician Practices LLC is a Internal Medicine Physician organization in Irmo, SC (NPI 1558710376).
Provider details
- NPI number
- 1558710376
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jess Judy, President(615) 920-7000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Three Rivers Medical Associates
Registry dates
- Enumerated
- 2016-06-13
- Last updated
- 2017-02-23
Frequently asked questions
- What is Providence Physician Practices LLC's NPI number?
- Providence Physician Practices LLC's National Provider Identifier (NPI) is 1558710376, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Physician Practices LLC?
- Providence Physician Practices LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Providence Physician Practices LLC located?
- Providence Physician Practices LLC's practice location on file with NPPES is 7936 Broad River Rd, Irmo, SC 29063-2355.
- What is Providence Physician Practices LLC's phone number?
- The practice phone number listed in the NPPES registry for Providence Physician Practices LLC is (803) 732-4001.
- Who is the authorized official for Providence Physician Practices LLC?
- The authorized official listed on Providence Physician Practices LLC's NPPES record is Jess Judy, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Physician Practices LLC's NPI active?
- Yes — Providence Physician Practices LLC's NPI (1558710376) is active in the NPPES registry as of the last update on 2017-02-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.