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

Providence Physician Practices LLC

Organization Family Medicine Physician · NPI 1689030595

Providence Physician Practices LLC is a Family Medicine Physician in Columbia, South Carolina. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
5
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

2001 Laurel St Ste 300
Columbia, SC 29204-1018
Phone: (803) 254-2786
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1689030595
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Teague — Avp, Secretary · (615) 920-7000
NPI enumeratedJanuary 7, 2016
Last updated in NPPESJanuary 13, 2021
Certification dateJanuary 13, 2021
Mailing address114 Gateway Corporate Blvd, Ste 425, Columbia, SC 29203-9740

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