PALMETTO HEALTH (NPI# 1104188606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104188606 |
| Entity Type | Organization |
| Organization Name | PALMETTO HEALTH |
| Other Organization Name | AMBULATORY CARE CENTER FOR EVALUATION AND STABILIZATION |
| Practice Address |
3010 Farrow Rd Carolina Medical Plaza Suite 200 Columbia SC 29203-7607 |
| Mailing Address |
Po Box 402145 Atlanta GA 30384-2145 |
| Practice Telephone | 8034342741 |
| Practice Fax Number | 8034343175 |
| Mailing Telephone | 8032967305 |
| Mailing Fax Number | 8032967330 |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2012-06-11 |
| Authorized Official Name | MR. DARRELL C COVEN (DIRECTOR, AMBULATORY SERVICES-FINAN) |
| Authorized Official Telephone | 8032967301 |
| Is Organization Subpart | Y |
| Parent Organization Name | PALMETTO HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Ambulatory Care Center for Evaluation and Stabilization | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891232880 | Palmetto Health | Clinic/Center | 3010 Farrow Rd Ste 110, Columbia, SC 29203-7603 | 2017-01-27 |
| 1003351859 | Palmetto Health | General Acute Care Hospital | 808 Kawana Rd, Columbia, SC 29205-2033 | 2017-01-04 |
| 1043688120 | Palmetto Health | Rehabilitation Unit | 3600 Forest Drive-suite 101, Columbia, SC 29204-0000 | 2015-09-08 |
| 1033514120 | Palmetto Health | Internal Medicine | 6 Richland Medical Park Dr, Suite 2100, Columbia, SC 29203-6864 | 2014-10-31 |
| 1851642458 | Palmetto Health | Family Medicine | 100 Palmetto Health Parkway, Suite 220, Columbia, SC 29212-1755 | 2012-09-24 |
| 1932464476 | Palmetto Health | Counselor | 2721 Dutch Fork Rd, Chapin, SC 29036-8565 | 2012-07-11 |
| 1417211954 | Palmetto Health | Ambulance | 10 Medical Park Drive, Columbia, SC 29203-0000 | 2012-06-29 |
| 1164796306 | Palmetto Health | Pediatrics | 7 Medical Park Drive, Suite 7215, Columbia, SC 29203-6863 | 2012-03-06 |
| 1134453863 | Palmetto Health | Counselor | 1001 Highway 378 W, Lexington, SC 29072-8321 | 2009-09-29 |
| 1124279872 | Palmetto Health | Family Medicine | 300 W. Front St, Liberty, SC 29657-1012 | 2008-09-30 |
| Street Address |
3010 FARROW RD CAROLINA MEDICAL PLAZA SUITE 200 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-7607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326015249 | Craig F Maylath | Internal Medicine | 3010 Farrow Rd, Suite 300, Columbia, SC 29203-7607 | 2006-03-01 |
| 1336637073 | Palmetto Health - University of South Carolina Medical Group | Family Medicine | 3010 Farrow Rd, Columbia, SC 29203-7607 | 2018-04-27 |
| 1245685478 | Tiffany Johnson | Nurse Practitioner | 3010 Farrow Rd, Columbia, SC 29203-7607 | 2016-04-25 |
| 1558745588 | Donna Wolff | Nurse Practitioner | 3010 Farrow Rd, Suite 300, Columbia, SC 29203-7607 | 2015-07-20 |
| 1134565914 | Nalanti Deanna Parker | Nurse Practitioner | 3010 Farrow Rd, Suite 110, Columbia, SC 29203-7607 | 2013-05-20 |
| 1912271800 | Derek Matthew Liuzzo | Physical Therapist | 3010 Farrow Rd, Suite 120, Columbia, SC 29203-7607 | 2012-02-24 |
| 1841563103 | Kelvin Gerard Barnes | Nurse Practitioner | 3010 Farrow Rd, Suite 300, Columbia, SC 29203-7607 | 2012-02-17 |
| 1609162874 | John Elliot Turner | Pharmacist | 3010 Farrow Rd, Carolina Medical Plaza, Columbia, SC 29203-7607 | 2011-06-25 |
| 1942595368 | Jennifer C Hoffman | Nurse Practitioner | 3010 Farrow Rd, Suite 300, Columbia, SC 29203-7607 | 2011-06-14 |
| 1497040273 | Stephanie Sharperson Curry | Family Medicine | 3010 Farrow Rd, Suite 300, Columbia, SC 29203-7607 | 2011-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475284 | Matthew Leon Brigmon | Surgery | 2 Richland Medical Park, Suite 300, Columbia, SC 29203 | 2020-10-23 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| Find all providers in zip 29203 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720310055 | Green Ridge Group Inc | Family Medicine | 100 Forum Dr, Ste 3-255, Columbia, SC 29229-7944 | 2010-02-11 |
| 1518090901 | Andres Felix Leone | Family Medicine | 3 Richland Medical Park Dr Ste 510, Columbia, SC 29203-6854 | 2007-03-14 |
| 1851346423 | Arvind D Desai | Family Medicine | 30 Corporate Center, 10440 Little Patuxent Parkway, Suite 300, Columbia, MD 21044-3648 | 2006-05-23 |
| 1770012932 | Thomas Wesley Andrews | Family Medicine | 1 Hospital Dr # Dc032.00, Columbia, MO 65212-7637 | 2017-06-09 |
| 1144586983 | Amitava Michael Dasgupta | Family Medicine | 551 E Southampton Dr, Columbia, MO 65201-4236 | 2012-04-05 |
| 1811954365 | David R Mehr | Family Medicine | One Hospital Drive, Columbia, MO 65212-0001 | 2006-04-27 |
| 1205805215 | Charles David Petit | Family Medicine | 3010 Farrow Rd, Suite 300, Columbia, SC 29203-7607 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487031001 | Charleston Geriatrics and Post - Acute Care LLC | Family Medicine | 930 Tall Pine Rd, Mount Pleasant, SC 29464-2910 | 2015-05-04 |
| 1699041160 | Sarah E Whitehead | Family Medicine | Paris View Family Medicine, 1028 North Church Street, Greenville, SC 29601-1639 | 2012-03-28 |
| 1376854406 | Liberty Doctors, LLC | Family Medicine | 8761 Dorchester Rd, Suite 230, North Charleston, SC 29420-7322 | 2010-06-23 |
| 1306076542 | Veena G Naidu | Family Medicine | 203 Sapphire Vly, Anderson, SC 29621-4285 | 2009-07-22 |
| 1922236751 | Roper Saint Francis Physicians Network | Family Medicine | 4959 Highway 17, Murrells Inlet, SC 29576 | 2009-07-01 |
| 1265696439 | St. Andrews Surgical Assoc. PC | Family Medicine | 1006 Old Chapin Rd, Lexington, SC 29072-9549 | 2008-07-16 |
| 1417146127 | Russell G. Gaddy M.d. | Family Medicine | 10 Winchester Ct, Mauldin, SC 29662-2627 | 2007-10-18 |
| 1982724241 | Mark J. Meiler, Md | Family Medicine | 124 Live Oak Rd, Aiken, SC 29803-2663 | 2007-03-30 |
| 1013057520 | Upstate Homecare Md, LLC | Family Medicine | 212 Horse Head Point Dr, Seneca, SC 29672-8010 | 2007-02-07 |
| 1740394071 | Trident Medical Services D/b/a Trident Senior Health Center | Family Medicine | 9302 Medical Plaza Dr, Suite C, Charleston, SC 29406-9142 | 2006-08-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.