Prisma Health Medical Group-Midlands

Public-record details

Address

10 Richland Medical Park Dr Ste a, Columbia, SC 29203

Phone

(803) 434-6565

Listed under

Oral & maxillofacial surgeons, Specialty practices

NPI

1417442864

NPI status

Active in the NPPES registry

Provider type

Organization (practice, clinic or company)

Registered specialty (self-reported taxonomy)

Oral and Maxillofacial Surgery (1223S0112X)

Authorized official

Kristi Lawrence, Director, Provider Enrollment

NPI first issued

Jun 28, 2018

NPI record last updated

Feb 22, 2022

NPI 1417442864 is active in the federal NPPES registry (CMS) with Oral and Maxillofacial Surgery, an ADA-recognized dental specialty, as its primary taxonomy. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-09-30.

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Oral and maxillofacial surgeons are trained in surgery of the mouth and jaws, including placing implants, extractions, bone grafts and sinus lifts, and in anesthesia. Dentists who are not specialists can also place implants; the specialty here is the one the provider registered as primary.

View NPI 1417442864 in the official registry ↗