Providence Physician Practices LLC
NPI 1689034548 · Surgery Physician · Columbia, SC
Providence Physician Practices LLC is a Surgery Physician organization in Columbia, SC (NPI 1689034548).
Provider details
- NPI number
- 1689034548
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jess Judy, President(615) 920-7000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Plastic Surgery Physician208200000X
Allopathic & Osteopathic Physicians
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
- Providence Surgical Associates
Registry dates
- Enumerated
- 2016-03-04
- Last updated
- 2017-02-22
Frequently asked questions
- What is Providence Physician Practices LLC's NPI number?
- Providence Physician Practices LLC's National Provider Identifier (NPI) is 1689034548, 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 Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Providence Physician Practices LLC located?
- Providence Physician Practices LLC's practice location on file with NPPES is 1655 Bernardin Ave, Columbia, SC 29204-2039.
- 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) 409-7130.
- 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 (1689034548) is active in the NPPES registry as of the last update on 2017-02-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.