PALMETTO PRIMARY CARE PHYSICIANS, LLC (NPI# 1659660645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659660645 |
| Entity Type | Organization |
| Organization Name | PALMETTO PRIMARY CARE PHYSICIANS, LLC |
| Practice Address |
2500 Elms Center Rd N Charleston SC 29406-9844 |
| Mailing Address |
201 Sigma Dr Ste 100 Summerville SC 29486-7715 |
| Practice Telephone | 8435727727 |
| Practice Fax Number | 8435695881 |
| Mailing Telephone | 8435727727 |
| Mailing Fax Number | 8435695881 |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2016-09-12 |
| Authorized Official Name | DR. THOMAS BRANTLEY ARNAU (PRESIDENT) |
| Authorized Official Telephone | 8435727727 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | DPE089 | 05 | |
| SC | GP5897 | 05 |
| 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 |
| 1306480702 | Palmetto Primary Care Physicians, LLC | Clinic/Center | 119 Springhall Dr Ste A2, Goose Creek, SC 29445-5368 | 2019-10-30 |
| 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 |
| Street Address |
2500 ELMS CENTER RD |
| City | N CHARLESTON |
| State | SC |
| Zip Code | 29406-9844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063897007 | Ashton Glasgow | Pharmacist | 2500 Elms Center Rd, N Charleston, SC 29406-9844 | 2015-07-20 |
| 1902223258 | Kelly Finke | Social Worker | 2500 Elms Center Rd, N Charleston, SC 29406-9844 | 2014-03-25 |
| 1891079018 | Jennifer Michelle Craig | Nutritionist | 2500 Elms Center Rd, N Charleston, SC 29406-9844 | 2011-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023622289 | Sara Desmarais | Physical Therapist | 2760 Tricom St, North Charleston, SC 29406 | 2020-09-04 |
| 1669036448 | Pink Elephant Autism Project | In Home Supportive Care | 8738 Red Oak Drive, Charleston, SC 29406 | 2019-04-26 |
| 1083171185 | Medical University Hospital Authority | Pharmacy | 2250 Mall Drive, North Charleston, SC 29406 | 2019-02-25 |
| 1336627371 | Truesdale Medical Center LLC | Internal Medicine | 6296 Rivers Ave., Suite 310, N. Charleston, SC 29406 | 2018-08-01 |
| 1164914552 | Amanda R Dipiazza | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr Ste E, Charleston, SC 29406 | 2018-06-01 |
| 1982148490 | Trident Medical Center | Psychiatric Hospital | 9225 C Medical Plaza Drive, Charleston, SC 29406 | 2016-12-19 |
| 1649726217 | First Choice Counseling Services, LLC | Community/Behavioral Health | 2245 Greenridge Rd., Unit#414, North Charleston, SC 29406 | 2016-09-01 |
| 1821443896 | Liberty Doctors, LLC | Family Medicine | 9275 D Medical Plaza Dr., North Charleston, SC 29406 | 2016-04-27 |
| 1174984645 | Ashia George | Developmental Therapist | 6650 Rivers Avenue, Ste 100, Charleston, SC 29406 | 2016-03-11 |
| 1023488582 | Etta Smith | Counselor | 2470 Mall Dr Unit Cd, North Charleston, SC 29406 | 2015-09-28 |
| Find all providers in zip 29406 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982653846 | Lowcountry Medical Associates | Clinical Medical Laboratory | 4450 Leeds Pl W, N Charleston, SC 29405-8402 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568078509 | Jeff David Alexander | Clinical Medical Laboratory | 2724 Wade Hampton Blvd Ste C, Greenville, SC 29615-1110 | 2020-09-16 |
| 1558976100 | Enmed Microanalytics, Inc | Clinical Medical Laboratory | 645 Meeting St Ste 2, Charleston, SC 29403-4277 | 2020-09-10 |
| 1871107128 | Afg Services LLC | Clinical Medical Laboratory | 131 Falls St Ste 302, Greenville, SC 29601-2876 | 2020-09-03 |
| 1982214763 | Kempo Corporation | Clinical Medical Laboratory | 6096 Highway 151, Jefferson, SC 29718-5813 | 2020-08-05 |
| 1255952693 | Nacole Domanika Edwards | Clinical Medical Laboratory | 108 Roe St, Greer, SC 29651-1235 | 2020-04-27 |
| 1912564790 | Palmetto Sleep Lab LLC | Clinical Medical Laboratory | 2724 W Palmetto St Ste 12, Florence, SC 29501-4909 | 2019-05-28 |
| 1386110153 | Assure Laboratory Inc | Clinical Medical Laboratory | 1200 Woodruff Rd Ste H32, Greenville, SC 29607-5790 | 2018-10-19 |
| 1174009245 | Vikor Scientific, LLC | Clinical Medical Laboratory | 22 Westedge St., Suite 800, Charleston, SC 29403-2940 | 2018-07-12 |
| 1548789522 | Tracy R Trapp | Clinical Medical Laboratory | 9005 Two Notch Rd Ste 22, Columbia, SC 29223-5850 | 2017-09-12 |
| 1982142345 | Avanti Laboratories LLC | Clinical Medical Laboratory | 1650 Highway 9 E, Unit 1, Longs, SC 29568-5754 | 2017-02-06 |
| Find all providers with the same taxonomy | ||||
| City | N CHARLESTON |
| Zip Code | 29406 |
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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.