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

Providence Physician Practices LLC

Organization Cardiovascular Disease Physician · NPI 1770943631

Providence Physician Practices LLC provides Cardiovascular Disease Physician services in Columbia, South Carolina. Registered with an NPI since 2016.

In the registry since
2016
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

114 Gateway Corporate Blvd Ste 425
Columbia, SC 29203-9740
Phone: (803) 865-4780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X

Record details

NPI number1770943631
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jess Judy — President · (615) 920-7000
Other names Carolina Cardiovascular Associates
NPI enumeratedMarch 4, 2016
Last updated in NPPESFebruary 22, 2017
Mailing address114 Gateway Corporate Blvd, Ste 425, Columbia, SC 29203-9740

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