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

Jenny Tatiana Gonzalez Guzman, MD

Individual provider Family Medicine Physician · NPI 1457977563

Jenny Tatiana Gonzalez Guzman, MD is a Family Practice in Columbia, South Carolina. Qualified in 2018, 8 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
8
Licensed in
SC
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

Prisma Health Family Medical Center 3209 Colonial Dr
Columbia, SC 29203
Phone: (803) 434-6113
Fax: (803) 434-8478
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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 · Licence LL84579 (SC)

Record details

NPI number1457977563
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 24, 2020
Last updated in NPPESMay 9, 2024
Certification dateJune 24, 2020

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Columbia