PALMETTO PRIMARY CARE PHYSICIANS (NPI# 1023428745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023428745 |
| Entity Type | Organization |
| Organization Name | PALMETTO PRIMARY CARE PHYSICIANS |
| Other Organization Name | ST. GEORGE FAMILY PRACTICE |
| Practice Address |
202 Ridge St Saint George SC 29477-2446 |
| Mailing Address |
201 Sigma Dr Ste 100 Summerville SC 29486-7715 |
| Practice Telephone | 8435636000 |
| Practice Fax Number | 8435636015 |
| Mailing Telephone | 8435636000 |
| Mailing Fax Number | 8435695881 |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2016-09-12 |
| Authorized Official Name | DR. THOMAS BRANTLEY ARNAU (PRESIDENT) |
| Authorized Official Telephone | 8425727727 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP6503 | 05 |
| Other Name | Type Code |
|---|---|
| St. George Family Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275177420 | Palmetto Primary Care Physicians | Family Medicine | 1415 Blanding St Ste 2, Columbia, SC 29201-2922 | 2019-10-31 |
| 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 |
| 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 |
| 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 |
| Street Address |
202 RIDGE ST |
| City | SAINT GEORGE |
| State | SC |
| Zip Code | 29477-2446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972781235 | Orangeburg Family Eye Care, LLC | Optometrist | 310 Parler Avenue, St. George, SC 29477 | 2008-02-08 |
| 1710020714 | Cash Discountdrugstoreinc | Pharmacy | 204 N Parler Ave, St George, SC 29477 | 2007-02-15 |
| 1952474769 | Eric James Watson | Internal Medicine | 202 Gavin St, St George, SC 29477 | 2006-11-17 |
| 1982636197 | James Hart Dantzler | Family Medicine | 5664 Memorial Blvd, St George, SC 29477 | 2006-07-07 |
| 1578504502 | Cynthia Mcalhany Mcclure | Nurse Practitioner | 109 Dukes St, St George, SC 29477 | 2006-06-09 |
| 1700834769 | Carolyn Olive Mims | Nurse Anesthetist, Certified Registered | 204 Charles St., St. George, SC 29477 | 2006-05-04 |
| 1205810470 | William Scott Garris | Dentist | 102 Bryant St, St George, SC 29477 | 2005-12-01 |
| 1760487870 | Jeffrey Evan Faaberg | Anesthesiology | 5790 Memorial Boulevard, Saint George, SC 29477 | 2005-06-15 |
| 1992054084 | Amy L Sherman | Pharmacist | 5742 Memorial Blvd, Saint George, SC 29477 | 2012-09-05 |
| 1376574855 | Crowfield Pain Center | Anesthesiology | 5790 Memorial Boulevard, Saint George, SC 29477 | 2006-07-05 |
| Find all providers in zip 29477 | ||||
| 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 |
|---|---|---|---|---|
| 1619282571 | Utah Phs LLC | Family Medicine | 321 N Mall Dr Bldg R, Red Cliffs Professional Park, Saint George, UT 84790-7302 | 2010-08-16 |
| 1679673420 | Judy L. Caldwell | Family Medicine | 1173 S 250 W Ste 305, Saint George, UT 84770-6759 | 2006-09-22 |
| 1508868563 | Karen M Radley | Family Medicine | 965 E 700 S Ste 300, Saint George, UT 84790-4086 | 2005-06-02 |
| 1215110697 | Cecil Bryan Jordan II | Family Medicine | 109 Dukes St, Saint George, SC 29477-2501 | 2007-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495841 | Neuro Health Sc LLC | Family Medicine | 108 Commons Blvd Ste A, Piedmont, SC 29673-7766 | 2020-10-21 |
| 1811595499 | Laura Coolidge | Family Medicine | 1528 Seacroft Rd, Charleston, SC 29412-8113 | 2020-10-15 |
| 1154928570 | Lexington Health Inc | Family Medicine | 146 E Hospital Dr Ste 500, West Columbia, SC 29169-4842 | 2020-10-08 |
| 1477150340 | Meghan Hodapp | Family Medicine | 623 Awendaw Lakes Blvd, Awendaw, SC 29429-6407 | 2020-10-05 |
| 1033716253 | Proactive Md Tindall Spartanburg Health Center | Family Medicine | 2273 Hayne St., Spartanburg, SC 29301 | 2020-10-01 |
| 1851906267 | Avneet Nagra | Family Medicine | 162 Montauk Dr, Lexington, SC 29072-6776 | 2020-09-11 |
| 1134732753 | Ovp Health Care, Inc. | Family Medicine | 101 S Catawba St, Lancaster, SC 29720-2411 | 2020-08-24 |
| 1063024578 | Beaufort County Memorial Hospital | Family Medicine | Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 | 2020-08-18 |
| 1841801149 | Palmetto Primary Care Physicians, LLC | Family Medicine | 1200 Two Island Ct Unit E, Mt Pleasant, SC 29466-7418 | 2020-08-11 |
| 1922617950 | Fred E Hill | Family Medicine | 1033 Jervey Point Rd, Charleston, SC 29492-8372 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
| City | SAINT GEORGE |
| Zip Code | 29477 |
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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.