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

Providence Physician Practices LLC

Organization Critical Care Medicine (Internal Medicine) Physician · NPI 1790143766

Providence Physician Practices LLC is a Critical Care Medicine (Internal Medicine) 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 350
Columbia, SC 29204-2039
Phone: (803) 253-7575
Fax: (803) 253-7571
Show map & directions

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

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X
Sleep Medicine (Internal Medicine) Physician Taxonomy 207RS0012X

Record details

NPI number1790143766
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jess Judy — President · (615) 920-7000
Other names Midlands Pulmonary, Critical Care & Sleep Medicine
NPI enumeratedFebruary 5, 2016
Last updated in NPPESFebruary 22, 2017
Mailing address114 Gateway Corporate Blvd, Ste 425, Columbia, SC 29203-9740

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