PALMETTO PRIMARY CARE PHYSICIANS (NPI# 1154605707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154605707 |
| Entity Type | Organization |
| Organization Name | PALMETTO PRIMARY CARE PHYSICIANS |
| Other Organization Name | PALMETTO PRIMARY CARE PHYSICIANS GASTROENTEROLOGY |
| Practice Address |
7 S Alliance Dr Ste 202-a Goose Creek SC 29445-7269 |
| Mailing Address |
201 Sigma Dr Ste 100 Summerville SC 29486-7715 |
| Practice Telephone | 8433760670 |
| Practice Fax Number | 8433760669 |
| Mailing Telephone | 8433760670 |
| Mailing Fax Number | 8435695881 |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2017-04-24 |
| 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 | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0008X |
Internal Medicine Specialization: Hepatology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP3254 | 05 |
| Other Name | Type Code |
|---|---|
| Palmetto Primary Care Physicians Gastroenterology | 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 |
| 1023428745 | Palmetto Primary Care Physicians | Family Medicine | 202 Ridge St, Saint George, SC 29477-2446 | 2014-05-02 |
| 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 |
| 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 |
7 S ALLIANCE DR STE 202-A |
| City | GOOSE CREEK |
| State | SC |
| Zip Code | 29445-7269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336149848 | Proactive Therapy of South Carolina Inc | Clinic/Center | 7 S Alliance Dr, Goose Creek, SC 29445-7172 | 2005-07-26 |
| 1780123984 | Ppcp Specialty Physicians, LLC | Internal Medicine | 7 S Alliance Dr, Ste 202-a, Goose Creek, SC 29445-7269 | 2017-02-21 |
| 1104258953 | Schayla Danyell Axson | Occupational Therapist | 7 S Alliance Dr, Suite 102a, Goose Creek, SC 29445-7269 | 2013-08-04 |
| 1730425166 | Laura Rose Davidge | Occupational Therapist | 7 S Alliance Dr, Suite 102 A, Goose Creek, SC 29445-7269 | 2012-12-12 |
| 1184997348 | Celeste J Curnick | Nurse Practitioner | 7 S Alliance Dr, Ste 202a, Goose Creek, SC 29445-7269 | 2012-02-20 |
| 1639469117 | Palmetto Primary Care Physicians | Psychiatry & Neurology | 7 S Alliance Dr, Ste 202-a, Goose Creek, SC 29445-7269 | 2011-04-18 |
| 1538310875 | Kristina Cordie | Physical Therapy Assistant | 7 S Alliance Dr, Suite 102a, Goose Creek, SC 29445-7269 | 2008-10-06 |
| 1831164169 | Matthew W Gunn | Physical Therapist | 7 S Alliance Dr, Ste 102a, Goose Creek, SC 29445-7172 | 2006-02-21 |
| 1477527307 | Cynthia Caughman Vannoy | Physical Therapist | 7 S Alliance Dr, Goose Creek, SC 29445-7269 | 2006-02-15 |
| 1609840818 | Marjorie Ann Ratliff | Physical Therapist | 7 S Alliance Dr, Ste 102a, Goose Creek, SC 29445-7172 | 2006-02-14 |
| Find all providers in the same location | ||||
| 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 | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1831170612 | Marc Dean New | Internal Medicine | 7 S Alliance Dr Ste 202a, Goose Creek, SC 29445 | 2005-11-09 |
| 1407477797 | Ppcp Specialty Physicians, LLC | Internal Medicine | 7 S Alliance Dr Ste 211b, Goose Creek, SC 29445-7297 | 2020-04-28 |
| 1780123984 | Ppcp Specialty Physicians, LLC | Internal Medicine | 7 S Alliance Dr, Ste 202-a, Goose Creek, SC 29445-7269 | 2017-02-21 |
| 1871911867 | Brett Daniel Van Leer-greenberg | Internal Medicine | 7 S Alliance Dr Ste 202a, Goose Creek, SC 29445-7269 | 2014-04-07 |
| 1760527576 | Aaron Benjamin Domm | Internal Medicine | 7 S Alliance Dr Ste 202a, Goose Creek, SC 29445-7269 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861007163 | Ppcp Specialty Physicians, LLC | Internal Medicine | 5500 Front St Ste 260, Summerville, SC 29486-7735 | 2020-09-14 |
| 1497398721 | Brooke Alexa Brooks | Internal Medicine | 25 Courtenay Dr # 7018, Charleston, SC 29425-8911 | 2019-10-18 |
| 1437566510 | Tides Gastroenterology, LLC | Internal Medicine | 159 E Shipyard Rd, Mt Pleasant, SC 29464-2677 | 2014-07-21 |
| 1912326893 | Gastroenterology Consultants of Savannah, PC | Internal Medicine | 10 Oak Forest Rd Ste B, Bluffton, SC 29910-4974 | 2014-04-08 |
| 1457616401 | Christopher Robert Brown | Internal Medicine | 4040 Highway 17 Unit 302, Murrells Inlet, SC 29576 | 2012-07-05 |
| 1326304478 | Madeline Rhea Russell | Internal Medicine | 1010 Medical Center Dr Ste 100, Hardeeville, SC 29927-3452 | 2012-04-03 |
| 1083909402 | Andrew Jonathan Motlis | Internal Medicine | 853 N Church St Ste 620, Spartanburg, SC 29303-3070 | 2011-06-14 |
| 1518250414 | Georgia Gastroenterology,llc. | Internal Medicine | 35 Varden Dr, Suite C, Aiken, SC 29803 | 2011-05-25 |
| 1811296239 | South Coast Gastroenterology | Internal Medicine | 2891 Tricom St Ste B, N Charleston, SC 29406-7110 | 2011-03-24 |
| 1235430745 | Beaufort County Memorial Hospital | Internal Medicine | 1716 Ribaut Rd, Port Royal, SC 29935-1927 | 2010-11-15 |
| Find all providers with the same taxonomy | ||||
| City | GOOSE CREEK |
| Zip Code | 29445 |
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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.