PALMETTO HEALTH (NPI# 1790737369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790737369 |
| Entity Type | Organization |
| Organization Name | PALMETTO HEALTH |
| Other Organization Name | PALMETTO HEALTH HOSPITALIST |
| Practice Address |
106 John St Suite B Easley SC 29640-1415 |
| Mailing Address |
Po Box 2089 Easley SC 29641-2089 |
| Practice Telephone | 8648555104 |
| Practice Fax Number | 8648599362 |
| Mailing Telephone | 8648555104 |
| Mailing Fax Number | 8648599362 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2008-05-12 |
| Authorized Official Name | MS. KENDALL J DURHAM (MANAGER -PATIENT FINANCIAL SERVICES) |
| Authorized Official Telephone | 8648555104 |
| Is Organization Subpart | Y |
| Parent Organization Name | PALMETTO HEALTH ALLIANCE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP3988 | 05 |
| Other Name | Type Code |
|---|---|
| Palmetto Health Hospitalist | 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 |
106 JOHN ST SUITE B |
| City | EASLEY |
| State | SC |
| Zip Code | 29640-1415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457816928 | Elizabeth Lacy | Nurse Practitioner | 106 John St, Easley, SC 29640-1415 | 2019-02-08 |
| 1295218642 | Prisma Health University Medical Group | Internal Medicine | 106 John St, Easley, SC 29640-1415 | 2018-09-12 |
| 1700326261 | Rippol J Patel | Family Medicine | 106 John St, Easley, SC 29640-1415 | 2017-03-03 |
| 1104368174 | Kathryn Lea Luckett | Nurse Practitioner | 106 John St, Easley, SC 29640-1415 | 2016-11-08 |
| 1962852632 | Nathan Randall Jones | Family Medicine | 106 John St, Easley, SC 29640-1415 | 2016-06-14 |
| 1871997742 | Brittany Ellis | Nurse Practitioner | 106 John St, Easley, SC 29640-1415 | 2014-10-21 |
| 1811327851 | Jeffrey Nations | Family Medicine | 106 John St, Easley, SC 29640-1415 | 2013-11-12 |
| 1700042462 | Natalie R Singleton | Nurse Practitioner | 106 John St, Easley, SC 29640 | 2008-08-01 |
| 1215943386 | Debbie Ellis | Family Medicine | 106 John St, Easley, SC 29640-1415 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063935773 | Mary Kathryn Henderson | Speech-Language Pathologist | 1400 Griffin Mill Road, Easley, SC 29640 | 2017-07-25 |
| 1417309451 | Ashby Park Pediatric Dentistry Easley | Dentist | 708 North A Street, Easley, SC 29640 | 2016-07-01 |
| 1548696990 | Phuong T Tran | Pharmacist | 309 Rolling Hills Circle, Easley, SC 29640 | 2013-09-17 |
| 1538593017 | Baptist Easley Hospital | Clinic/Center | 200 Fleet Wood Dr 3 Rd Floor, Easley, SC 29640 | 2013-09-03 |
| 1942507173 | Joanne Mason Wilkinson | Occupational Therapist | 1807a East Main St, Easley, SC 29640 | 2011-02-24 |
| 1861793911 | Ark Pharmacy Services LLC | Pharmacy | 5119- A Calhoun Memorial Hwy, Easley, SC 29640 | 2010-11-05 |
| 1659507952 | Sarah Elizabeth Proulx | Dentist | 227 South Pendleton Street, Suita A, Easley, SC 29640 | 2009-06-02 |
| 1508030503 | Jean Claire Palmour | Massage Therapist | 404 South Fifth Street, Jj & Company Salon & Spa, Easley, SC 29640 | 2008-04-22 |
| 1760685143 | Cannon Memorial Hospital | Family Medicine | 111 W. Roper Rd., Easley, SC 29640 | 2007-06-06 |
| 1942419171 | William Kent Hammond | Dentist | 298 Enterprise Dr, Easley, SC 29640 | 2007-05-22 |
| Find all providers in zip 29640 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265839534 | Healthy Concepts | Internal Medicine | 300 Fleetwood Dr, Easley, SC 29640-1912 | 2014-12-02 |
| 1134350358 | Baptist Easley Hospital | Internal Medicine | 200 Fleetwood Dr Fl 2, Easley, SC 29640-2022 | 2009-08-05 |
| 1275564007 | Palmetto Health | Internal Medicine | 101 Richard St, Easley, SC 29640-1440 | 2006-07-06 |
| 1043260029 | Palmetto Health | Internal Medicine | 106 John Street, Easley, SC 29640-1415 | 2006-05-11 |
| 1629053749 | Adult Medicine Specialists of Easley Pa | Internal Medicine | 764 Saco Lowell Rd, Easley, SC 29640-3880 | 2005-12-13 |
| 1487638581 | David P. Chang | Internal Medicine | 704 N A St, Easley, SC 29640-2142 | 2005-12-01 |
| 1447257134 | Barry Reid Swiger | Internal Medicine | 1648 Gentry Memorial Hwy, Easley, SC 29640-8877 | 2005-07-07 |
| 1063044600 | Jacquelyn Nicole Greene | Internal Medicine | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2020-02-11 |
| 1295218642 | Prisma Health University Medical Group | Internal Medicine | 106 John St, Easley, SC 29640-1415 | 2018-09-12 |
| 1689024101 | Chelsea Rose Smith | Internal Medicine | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2016-06-15 |
| Find all providers in EASLEY | ||||
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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.