Family Medicine
AUGUSTINE HEALTH GROUP, LLC
Identity confirmed via CMS NPPES · September 29, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1750401451 · enumerated 2007-03-29 · record updated 2008-03-07. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: JEREMY WHITAKER CPC, Manager · (803) 865-4798
Other names: PROVIDENCE NORTHEAST FAMILY CARE AT LAKE CAROLINA
Addresses and phones
- Practice location 300 LONG POINTE LN, SUITE 130, COLUMBIA, SC, 29229-7543 (803) 462-7193 Fax (803) 462-7163 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 60496, CHARLOTTE, NC, 28260-0496 (803) 462-7193 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · Primary
In this directory
Locations and evidence
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Practice location
COLUMBIA, SC, 292297543
Accepting new patientsNot reportedCMS NPPES · September 29, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.