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

Providence Physician Practices LLC

Organization Orthopaedic Surgery Physician · NPI 1285253336

Providence Physician Practices LLC is an Orthopaedic Surgery 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

114 Gateway Corporate Blvd Ste 220A
Columbia, SC 29203-9785
Phone: (803) 365-8660
Fax: (803) 217-4178
Show map & directions

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

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X

Record details

NPI number1285253336
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Teague — Corporate Secretary · (615) 920-7646
Other names Providence Orthopedics
NPI enumeratedApril 9, 2020
Last updated in NPPESApril 9, 2020
Certification dateApril 9, 2020
Mailing address330 Seven Springs Way, Brentwood, TN 37027-5098

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