PALMETTO PRIMARY CARE PHYSICIANS (NPI# 1184113615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184113615 |
| Entity Type | Organization |
| Organization Name | PALMETTO PRIMARY CARE PHYSICIANS |
| Practice Address |
7611 Saint Andrews Rd Irmo SC 29063 |
| Mailing Address |
201 Sigma Dr Ste 100 Summerville SC 29486-7722 |
| Practice Telephone | 8037143300 |
| Practice Fax Number | 8036269356 |
| Mailing Telephone | 8436956071 |
| Mailing Fax Number | 8435695881 |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2019-08-09 |
| Authorized Official Name | BRENDA REEVE (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 8438203403 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP8381 | 05 |
| 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 |
7611 SAINT ANDREWS RD |
| City | IRMO |
| State | SC |
| Zip Code | 29063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881687440 | Elizabeth A Lebel | Internal Medicine | 7611 Saint Andrews Rd, Irmo, SC 29063-2834 | 2005-08-29 |
| 1073156972 | Palmetto Primary Care Physicians, LLC | Clinic/Center | 7611 Saint Andrews Rd, Irmo, SC 29063-2834 | 2019-10-23 |
| 1720594914 | Briana Martin Huyck | Nurse Practitioner | 7611 Saint Andrews Rd, Irmo, SC 29063 | 2017-12-26 |
| 1689077356 | Lauren Camp Carsten | Nurse Practitioner | 7611 Saint Andrews Rd, Irmo, SC 29063-2834 | 2014-10-08 |
| 1538467808 | Family Medicine Centers of South Carolina | Clinic/Center | 7611 Saint Andrews Rd, Irmo, SC 29063-2834 | 2011-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603640 | Daniel Witcher | Counselor | 1180 Columbia Avenue, Suite 203, Irmo, SC 29063 | 2020-06-16 |
| 1710512140 | Arie Anew Services Incorporated | Psychologist | 7803 St. Andrews Road, C5, Irmo, SC 29063 | 2020-03-05 |
| 1366922296 | Jennie C Beym | Speech-Language Pathologist | 7 Tip Top Court, Irmo, SC 29063 | 2018-08-20 |
| 1295214088 | The Well LLC | Massage Therapist | 1720 Dutch Fork Rd., Irmo, SC 29063 | 2018-08-13 |
| 1699268821 | Shannon Marie Kelly | Dentist | 200 N Royal Tower Dr, Irmo, SC 29063 | 2018-06-12 |
| 1497243174 | Anthony Batiste Thompson Jr. | Behavior Technician | 137 Chapelwhite Road, Irmo, SC 29063 | 2018-04-27 |
| 1578076022 | Demario Sawyer Sr | Ambulance | 107 N Royal Tower Dr Ste C, Irmo, SC 29063 | 2017-11-07 |
| 1306365713 | Dreher Shuler | Student in an Organized Health Care Education/Training Program | 205 River Creek Drive, Irmo, SC 29063 | 2017-09-18 |
| 1053833442 | Tania Rodriguez | Social Worker | 30 Ash Court, Irmo, SC 29063 | 2017-07-07 |
| 1598294944 | Ashley Elaine Bradley | Home Health | 120 Stockland Rd, Irmo, SC 29063 | 2017-06-08 |
| Find all providers in zip 29063 | ||||
| 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 |
|---|---|---|---|---|
| 1346353810 | Timothy Robert Roy | Internal Medicine | 1000 Steeple Ridge Rd, Irmo, SC 29063-8041 | 2006-08-17 |
| 1942229646 | Thomas Gordon Seastrunk | Internal Medicine | 17 Stonewall Ct, Irmo, SC 29063-8931 | 2006-07-19 |
| 1881687440 | Elizabeth A Lebel | Internal Medicine | 7611 Saint Andrews Rd, Irmo, SC 29063-2834 | 2005-08-29 |
| 1265434013 | Louis Carey Hite | Internal Medicine | 7430 College St, Irmo, SC 29063-2903 | 2005-08-11 |
| 1922489285 | Mandev Guram | Internal Medicine | 7182 Woodrow St Ste 200, Irmo, SC 29063-2832 | 2015-06-12 |
| 1346208568 | Surbjinder S Guram | Internal Medicine | 7182 Woodrow St Ste 200, Irmo, SC 29063-2832 | 2006-05-04 |
| 1093773590 | Joseph N Gabriel | Internal Medicine | 7182 Woodrow St Ste 200, Irmo, SC 29063-2832 | 2006-05-03 |
| 1346208865 | Benjamin J Levinson | Internal Medicine | 7182 Woodrow St Ste 200, Irmo, SC 29063-2832 | 2006-05-03 |
| 1760445597 | Three Rivers Medical Associates, Pa | Internal Medicine | 7430 College St, Irmo, SC 29063-2903 | 2006-04-11 |
| 1528029287 | Frederic A Smith | Internal Medicine | 7182 Woodrow St Ste 200, Irmo, SC 29063-2832 | 2006-03-31 |
| Find all providers in IRMO | ||||
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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.