OrganizationActive
Provision Healthcare, LLC
NPI 1669968152 · Family Nurse Practitioner · Columbia, SC
Provider details
- NPI number
- 1669968152
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Lashonda Tyler, Owner(803) 302-8205
- License
- BL015940-07-2018 (SC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
1320 Main St Ste 300
Columbia, SC 29201-3266
Phone: (803) 373-0063
Street-level locationGet directions
Mailing address
4611 Hard Scrabble Rd Ste 178
Columbia, SC 29229-8584
Additional practice locations (2)
- 10120 Two Notch Rd # 133Columbia, SC 29223-4395Phone: (803) 373-0063
- 4611 Hard Scrabble Rd Ste 178Columbia, SC 29229-8584Phone: (803) 373-0063
Registry dates
- Enumerated
- 2018-07-08
- Last updated
- 2018-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.