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

Collin Homer-Bouthiette

Individual provider Internal Medicine Physician · NPI 1447815303

Collin Homer-Bouthiette is a Pulmonary Disease in Columbia, South Carolina. Qualified in 2019, 7 years ago. Practices with Prisma Health Medical Group-Midlands, a 1,018-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Massachusetts and South Carolina.

Years since qualifying
7
Licensed in
MA, SC
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1333 Taylor St Ste 6F
Columbia, SC 29201-2953
Phone: (803) 296-3273
Fax: (803) 296-7061
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 20 York St, New Haven, CT 06510-3220 — (203) 688-4242
  • 41 Mall Rd, Burlington, MA 01805-3220 — (781) 744-8000

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 94122 (SC)
Internal Medicine Physician Taxonomy 207R00000X · Licence 1015619 (MA)

Record details

NPI number1447815303
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 7, 2019
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPULMONARY DISEASE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Prisma Health Medical Group-Midlands — 1018 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Columbia