Providence Physician Practices LLC
NPI 1659921740 · Internal Medicine Physician · Kershaw, SC
Providence Physician Practices LLC is a Internal Medicine Physician organization in Kershaw, SC (NPI 1659921740).
Provider details
- NPI number
- 1659921740
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kathy Teague, Corporate Secretary(615) 920-7646
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Optometrist152W00000X
Eye and Vision Services Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
- Ophthalmology Physician207W00000X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
Registry dates
- Enumerated
- 2019-09-19
- Last updated
- 2019-12-09
- Certified
- 2019-12-09
Frequently asked questions
- What is Providence Physician Practices LLC's NPI number?
- Providence Physician Practices LLC's National Provider Identifier (NPI) is 1659921740, 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 216 E Marion St, Kershaw, SC 29067-1442.
- 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) 475-3350.
- Who is the authorized official for Providence Physician Practices LLC?
- The authorized official listed on Providence Physician Practices LLC's NPPES record is Kathy Teague, Corporate Secretary. 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 (1659921740) is active in the NPPES registry as of the last update on 2019-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.