Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Envision Wellness Medical Group LLC

Organization Child & Adolescent Psychiatry Physician · NPI 1043832157

Envision Wellness Medical Group LLC is a Child & Adolescent Psychiatry Physician in Columbia, South Carolina. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4100 N Main St Ste 101
Columbia, SC 29203-5800
Phone: (803) 256-0101
Fax: (800) 854-3497
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X

Record details

NPI number1043832157
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ayanna Jamison — Dr/Owner · (803) 256-0101
NPI enumeratedMay 12, 2020
Last updated in NPPESMay 12, 2020
Certification dateMay 12, 2020
Mailing address4100 N Main St Ste 101, Columbia, SC 29203-5800

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