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

Providence Orthopedic Group, LLC

Organization Orthopaedic Surgery Physician · NPI 1811310576

Providence Orthopedic Group, LLC is an Orthopaedic Surgery Physician in Columbia, South Carolina. Licensed in South Carolina. Registered with an NPI since 2014.

Licensed in
SC
In the registry since
2014
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

120 Gateway Corporate Blvd
Columbia, SC 29203-9611
Phone: (803) 227-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X (SC)

Record details

NPI number1811310576
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matt Frick — Avp, Outpatient Operations · (803) 227-8104
Other names Moore Center For Orthopedics
NPI enumeratedJanuary 30, 2014
Last updated in NPPESJanuary 30, 2014
Mailing address104 Saluda Pointe Dr, Lexington, SC 29072-7295

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