PALMETTO PRIMARY CARE PHYSICIANS, LLC (NPI# 1306480702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306480702 |
| Entity Type | Organization |
| Organization Name | PALMETTO PRIMARY CARE PHYSICIANS, LLC |
| Practice Address |
119 Springhall Dr Ste A2 Goose Creek SC 29445-5368 |
| Mailing Address |
201 Sigma Dr Ste 100 Summerville SC 29486-7722 |
| Practice Telephone | 8436956071 |
| Mailing Telephone | 8436956071 |
| Mailing Fax Number | 8435695881 |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2019-10-30 |
| Authorized Official Name | BRANTLEY ARNAU (DIRECTOR) |
| Authorized Official Telephone | 8436956071 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Palmetto Advanced Therapy Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134734262 | Palmetto Primary Care Physicians, LLC | Radiology | 5500 Front St Ste 240, Summerville, SC 29486-7735 | 2020-09-15 |
| 1841801149 | Palmetto Primary Care Physicians, LLC | Family Medicine | 1200 Two Island Ct Unit E, Mt Pleasant, SC 29466-7418 | 2020-08-11 |
| 1740647650 | Palmetto Primary Care Physicians, LLC | Family Medicine | 201 Sigma Dr, Ste 100, Summerville, SC 29486-7715 | 2016-01-22 |
| 1609410794 | Palmetto Primary Care Physicians, LLC | Clinical Medical Laboratory | 7430 College St, Irmo, SC 29063-2903 | 2019-10-31 |
| 1073156972 | Palmetto Primary Care Physicians, LLC | Clinic/Center | 7611 Saint Andrews Rd, Irmo, SC 29063-2834 | 2019-10-23 |
| 1407365414 | Palmetto Primary Care Physicians, LLC | Clinic/Center | 4340 Ladson Rd Ste B, Ladson, SC 29456-6444 | 2017-09-21 |
| 1366974644 | Palmetto Primary Care Physicians, LLC | Psychiatry & Neurology | 110b Springhall Dr, Goose Creek, SC 29445-5335 | 2017-03-28 |
| 1659660645 | Palmetto Primary Care Physicians, LLC | Nutritionist | 2500 Elms Center Rd, N Charleston, SC 29406-9844 | 2011-03-31 |
| Street Address |
119 SPRINGHALL DR STE A2 |
| City | GOOSE CREEK |
| State | SC |
| Zip Code | 29445-5368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790309953 | Auriel Mcconnell | Home Health | 616 One Mans Court, Mount Pleasant, SC 29445 | 2020-06-03 |
| 1215594023 | Tanova Cornise Robinson | Counselor | 96 Wisteria Road, Goose Creek, SC 29445 | 2019-05-28 |
| 1417421777 | Debra Liana Kerness | Social Worker | 100-a Central Avenue, Suite 203, Goose Creek, SC 29445 | 2019-01-18 |
| 1043663503 | Aimee Nehiley | Dentist | 615 Saint James Ave, Goose Creek, SC 29445 | 2016-07-20 |
| 1881057032 | Eddie Emanuel Nance | Family Medicine | 110 Naval Nuclear Power Training Command Cir, Goose Creek, SC 29445 | 2016-04-04 |
| 1295195188 | Dental Professionals of South Carolina, PC | Dentist | 615 St. James Ave, Goose Creek, SC 29445 | 2016-03-04 |
| 1144603622 | Laryssa Smith | Pharmacist | 215 St. James Ave, Goose Creek, SC 29445 | 2015-07-02 |
| 1730439126 | O'stacia Williamson | Pharmacist | 1316 Redbank Rd, 9, Goose Creek, SC 29445 | 2012-09-13 |
| 1164771275 | Mary Ashley Watts | Pharmacist | 431 B St James Ave Suite I, Goose Creek, SC 29445 | 2012-09-05 |
| 1598048860 | Brianne Michele Terry | Pharmacist | 142 East Saint James Ave, Goose Creek, SC 29445 | 2011-09-23 |
| Find all providers in zip 29445 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689010308 | Clemson Sports Medicine and Rehabilitation, Inc | Clinic/Center | 217a Saint James Ave, Goose Creek, SC 29445-2990 | 2013-05-21 |
| 1942508700 | Joints In Motion Physical Therapy and Wellness, LLC | Clinic/Center | 214 Saint James Ave, Suite 140 B, Goose Creek, SC 29445-2974 | 2011-03-03 |
| 1336149848 | Proactive Therapy of South Carolina Inc | Clinic/Center | 7 S Alliance Dr, Goose Creek, SC 29445-7172 | 2005-07-26 |
| 1629524558 | Agilitas Usa, Inc | Clinic/Center | 514 Saint James Ave Unit G, Goose Creek, SC 29445-2767 | 2016-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104426907 | Firefly Therapy Clinic LLC | Clinic/Center | 2103 Hartness Dr, Greenville, SC 29615-5497 | 2020-10-29 |
| 1457961963 | Midlands Physical Therapy and Wellness LLC. | Clinic/Center | 115 Pettus Ln, Newberry, SC 29108-7719 | 2020-08-10 |
| 1568071017 | Pt Dispatch, LLC | Clinic/Center | 81 Pointe Cir Ste D-18, Greenville, SC 29615-3505 | 2020-07-29 |
| 1356974067 | Mastering Milestones, LLC | Clinic/Center | 1564 Red Tide Rd, Mount Pleasant, SC 29466-9406 | 2020-02-20 |
| 1477197945 | Greene Physical Therapy LLC | Clinic/Center | 824 Farnham Rd, Charleston, SC 29412-4806 | 2019-10-29 |
| 1962045500 | Bright Physical Therapy, LLC | Clinic/Center | 4010 E North St Ste 4, Greenville, SC 29615-6208 | 2019-10-28 |
| 1841848991 | Holistic Therapeutic Services of Sc LLC | Clinic/Center | 3810 Masters Cir, Florence, SC 29501-8514 | 2019-09-03 |
| 1447806518 | Turner Sports Performance, LLC | Clinic/Center | 407 Long Forest Cir, Anderson, SC 29625-1103 | 2019-08-14 |
| 1700348711 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 9547 N Kings Hwy, Myrtle Beach, SC 29572 | 2019-04-01 |
| 1518430339 | Mary Mattis P T Inc | Clinic/Center | 465 Greenwich Dr, Aiken, SC 29803-6541 | 2019-01-03 |
| Find all providers with the same taxonomy | ||||
| City | GOOSE CREEK |
| Zip Code | 29445 |
Please comment or provide details below to improve the information on PALMETTO PRIMARY CARE PHYSICIANS, LLC.
| 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.