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

Providence Group Practices II, LLC

Organization Cardiovascular Disease Physician · NPI 1396192001

Providence Group Practices II, LLC is a Cardiovascular Disease Physician in Columbia, South Carolina. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
3
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

1655 Bernardin Ave Ste 220
Columbia, SC 29204-2039
Phone: (803) 409-7170
Fax: (803) 409-7175
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Nuclear Cardiology Physician Taxonomy 207UN0901X

Record details

NPI number1396192001
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Teague — Avp, Corporate Secretary · (615) 920-7000
Other names Providence Heart; Providence Heart
NPI enumeratedMay 23, 2016
Last updated in NPPESNovember 23, 2020
Certification dateNovember 23, 2020
Mailing address330 Seven Springs Way Ste 425, Brentwood, TN 37027-5098

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