PALMETTO PRIMARY CARE PHYSICIANS


Address: 1415 Blanding St Ste 2, Columbia, SC 29201-2922
Phone: 8436956071

PALMETTO PRIMARY CARE PHYSICIANS (NPI# 1275177420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275177420
Entity Type Organization
Organization Name PALMETTO PRIMARY CARE PHYSICIANS
Practice Address 1415 Blanding St Ste 2
Columbia
SC 29201-2922
Mailing Address 201 Sigma Dr Ste 100
Summerville
SC 29486-7722
Practice Telephone 8436956071
Mailing Telephone 8436956071
Mailing Fax Number 8435695879
Enumeration Date 2019-10-31
Last Update Date 2020-01-21
Authorized Official Name BRENDA REEVE (CREDENTIALING COORDINATOR)
Authorized Official Telephone 8438203403
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC GP9398 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1326501834 Palmetto Primary Care Physicians Internal Medicine 710 Rabon Rd Ste 203, Columbia, SC 29203-8903 2019-04-11
1700354164 Palmetto Primary Care Physicians Clinic/Center 2500 Elms Center Rd Ste B, North Charleston, SC 29406-9844 2018-11-05
1023428745 Palmetto Primary Care Physicians Family Medicine 202 Ridge St, Saint George, SC 29477-2446 2014-05-02
1497075733 Palmetto Primary Care Physicians Family Medicine 300 W 4th North St, Summerville, SC 29483-6550 2010-06-09
1568405926 Palmetto Primary Care Physicians Family Medicine 404 N Pine St, Summerville, SC 29483-6557 2006-06-14
1245271261 Palmetto Primary Care Physicians Family Medicine 7 South Alliance Drive, Ste 201a, Goose Creek, SC 29445 2006-06-09
1851332951 Palmetto Primary Care Physicians Nutritionist 213 West 4th North Street, Summerville, SC 29483 2006-06-09
1659311165 Palmetto Primary Care Physicians Nutritionist 1401 Main St., Bonneau, SC 29431 2006-06-07
1104866623 Palmetto Primary Care Physicians Family Medicine 401 N Live Oak Dr, Ste. B, Moncks Corner, SC 29461-5603 2006-06-07
1932149440 Palmetto Primary Care Physicians Nutritionist 87 Springview Lane, Ste B, Summerville, SC 29485 2006-06-07

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities PALMETTO PRIMARY CARE PHYSICIANS, L.L.C. 2500 Elms Center Rd, North Charleston, SC 29406-9844

Office Location

Street Address 1415 BLANDING ST STE 2
City COLUMBIA
State SC
Zip Code 29201-2922

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366049421 Souzan Moslehshirazi Behavior Technician 1320 Main Street Suite 300, Colombia, SC 29201 2020-10-02
1295353936 Kayla Faylyn Nicole Mckenzie Specialist/Technologist 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 2020-07-09
1548887128 Casania's Caring Hands,llc Home Health Aide 1113 Belleview Street, 105, Columbia, SC 29201 2020-06-30
1639719909 Benjamin Clark Watson Acupuncturist 1825 Sumter St., Columbia, SC 29201 2020-01-14
1588217574 Aneika Daley Specialist/Technologist 1211 Wheat St, Columbia, SC 29201 2019-07-19
1447803531 Gillian Taylor Shaughnessy Specialist/Technologist 147 South Marion St, Columbia, SC 29201 2019-07-18
1417417619 Maria Nelson Behavior Technician 320 Main St Suite 300, Columbia, SC 29201 2019-03-22
1679041297 Nathaniel Carl Stocker Nurse Practitioner 1614 Main Street, Suite C, Sc House Calls Inc, Columbia, SC 29201 2018-11-13
1558852855 The Practice Family Medicine 1910 Gregg Street, Columbia, SC 29201 2018-05-22
1871095836 Kadesjah Samuels Behavior Technician 1320 Main Street, Suite 300, Columbia, SC 29201 2018-03-06
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447868005 Brittany Mechelle Waterworth Family Medicine 3700 I 70 Dr Se Ste 106, Columbia, MO 65201-6587 2020-07-20
1730706839 John James Gannon Family Medicine Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 2020-07-06
1053938852 Garrison Glenn Rice Family Medicine Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 2020-06-29
1457977563 Jenny Tatiana Gonzalez Guzman Family Medicine Prisma Health Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 2020-06-24
1942825500 Jarvis Jamal Johnson Family Medicine Prisma Health Family Medicine Center, 3209 Colonial Drive, Columbia, SC 29203 2020-06-10
1386268183 Nicolas Anthony Limogiannis Family Medicine Prisma Health Medical Group Family Medicine Center, 3209 Colonial Drive, Columbia, SC 29203 2020-06-08
1730724220 Luci Lee Redman Cassella Family Medicine 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 2019-11-08
1558919852 Synergos Medical, LLC Family Medicine 1703 Oak Cliff Pl, Columbia, MO 65203-4719 2019-08-29
1972156982 Maury Regional Medical Group, Inc Family Medicine 2478 Nashville Hwy Ste A, Columbia, TN 38401-0634 2019-07-18
1033671003 Stat Wellness Center, Pllc Family Medicine 1225 Hampshire Pike, Columbia, TN 38401-4615 2019-04-01
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Competitor

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City COLUMBIA
Zip Code 29201

Improve Information

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Dataset Information

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.

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