PALMETTO PRIMARY CARE PHYSICIANS, LLC (NPI# 1841801149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841801149 |
| Entity Type | Organization |
| Organization Name | PALMETTO PRIMARY CARE PHYSICIANS, LLC |
| Practice Address |
1200 Two Island Ct Unit E Mt Pleasant SC 29466-7418 |
| Mailing Address |
201 Sigma Dr Ste 100 Summerville SC 29486-7722 |
| Practice Telephone | 8544447676 |
| Practice Fax Number | 8549990549 |
| Mailing Telephone | 8436956071 |
| Mailing Fax Number | 8435695879 |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-13 |
| Authorized Official Name | CATHY JEAN POKORNY (CREDENTIAL COORDINATOR) |
| Authorized Official Telephone | 8438203397 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134734262 | Palmetto Primary Care Physicians, LLC | Radiology | 5500 Front St Ste 240, Summerville, SC 29486-7735 | 2020-09-15 |
| 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 |
| 1659660645 | Palmetto Primary Care Physicians, LLC | Nutritionist | 2500 Elms Center Rd, N Charleston, SC 29406-9844 | 2011-03-31 |
| Street Address |
1200 TWO ISLAND CT UNIT E |
| City | MT PLEASANT |
| State | SC |
| Zip Code | 29466-7418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689276 | Sweetgrass Pharmacy Carolina Park, LLC | Pharmacy | 3485 Park Avenue Blvd, Mount Pleasant, SC 29466 | 2020-11-02 |
| 1942836754 | Southern Grace Pain & Regenerative Medicine | Clinic/Center | 3520 Park Avenue Blvd., Suite 105, Mount Pleasant, SC 29466 | 2020-03-13 |
| 1174175038 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 225 Faison Rd, Mount Pleasant, SC 29466 | 2019-07-11 |
| 1780246553 | Stacy Nicole Sherbutt | Dental Hygienist | Naval Weapons Statiom, 316 Red Bank Rd, Goose Creek, SC 29466 | 2019-07-02 |
| 1144780909 | Chantal Pilar Debreceny | Nurse Practitioner | 1167 Basketweave Drive, #204, Mount Pleasant, SC 29466 | 2019-03-20 |
| 1609364835 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3525 Park Ave Blvd., Mount Pleasant, SC 29466 | 2018-04-24 |
| 1528561453 | Sea Island Medical Care | Clinic/Center | 2114 Highway 41, Suite 105, Mount Pleasant, SC 29466 | 2018-03-16 |
| 1992217707 | Kristina Estelle Johnson | Family Medicine | 2662, Lohr Dr, Mount Pleasant, SC 29466 | 2017-11-02 |
| 1801324181 | Collin T Weyer | Physical Therapist | 3301 Stockdale Street, Suite B, Mt. Pleasant, SC 29466 | 2017-05-31 |
| 1023467479 | Mariesa Eikevik | Physical Therapist | 3559 Franklin Tower Dr, Mount Pleasant, SC 29466 | 2016-06-07 |
| Find all providers in zip 29466 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
| 1093163339 | Julia Killingsworth Isom | Family Medicine | 180 Wingo Way Ste 207, Mt Pleasant, SC 29464-1811 | 2016-05-26 |
| 1477907350 | Christina Danielle Downer | Family Medicine | 2853 Health Pkwy Ste B, Mt Pleasant, MI 48858-9375 | 2016-04-18 |
| 1154793362 | Paladina Health, LLC | Family Medicine | 917 Houston Northcutt Blvd, Mt Pleasant, SC 29464-3448 | 2015-10-27 |
| 1790166163 | Sylvia Lee Clarkson | Family Medicine | 1440 Ben Sawyer Blvd Ste 1109, Mt Pleasant, SC 29464-5526 | 2015-06-11 |
| 1891106225 | Andrew Schleihauf | Family Medicine | 508 S Church St Ste 200, Mt Pleasant, PA 15666-1702 | 2014-05-20 |
| 1356695290 | Mount Pleasant Physicians,pllc | Family Medicine | 202 W 19th St, Mt Pleasant, TX 75455-2320 | 2012-10-30 |
| 1396048765 | Annu Mohan Md Pllc | Family Medicine | 2480 Rosewood Dr, Mt Pleasant, MI 48858-5003 | 2010-12-07 |
| 1356579890 | Ghassan N Hamadeh | Family Medicine | 1223 Vestige Sq, Mt Pleasant, SC 29464-9031 | 2009-06-23 |
| 1497982128 | Milad I Shaker Md Family Practice LLC | Family Medicine | 654 W Main St, Mt Pleasant, PA 15666-1815 | 2009-06-21 |
| Find all providers in MT PLEASANT | ||||
| City | MT PLEASANT |
| Zip Code | 29466 |
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.