PALMETTO HEALTH (NPI# 1245461391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245461391 |
| Entity Type | Organization |
| Organization Name | PALMETTO HEALTH |
| Other Organization Name | FIRST CARE |
| Practice Address |
115 Blarney Dr Suite 205 Columbia SC 29223-6291 |
| Mailing Address |
Po Box 402145 Atlanta GA 30384-2145 |
| Practice Telephone | 8037366262 |
| Practice Fax Number | 8036991734 |
| Mailing Telephone | 8032967305 |
| Mailing Fax Number | 8032967330 |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2016-04-01 |
| Authorized Official Name | DARRELL C COVEN (DIRECTOR, AMBULATORY SVCS - FINANCE) |
| Authorized Official Telephone | 8032967301 |
| Is Organization Subpart | Y |
| Parent Organization Name | PALMETTO HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP5263 | 05 |
| Other Name | Type Code |
|---|---|
| First Care | 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 |
115 BLARNEY DR SUITE 205 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29223-6291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790746709 | Reginald L Parker | Emergency Medicine | 115 Blarney Dr, Ste 101, Columbia, SC 29223-6291 | 2006-03-29 |
| 1336684851 | Northlake Family Practice | Exclusive Provider Organization | 115 Blarney Dr, Suite 101 C, Columbia, SC 29223-6291 | 2016-12-20 |
| 1043661986 | Laura E Herbert | Nurse Practitioner | 115 Blarney Dr, Suite 108, Columbia, SC 29223-6291 | 2016-06-22 |
| 1912366527 | Heartfelt Hospice Inc. | Hospice Care, Community Based | 115 Blarney Dr, Suite 204, Columbia, SC 29223-6291 | 2016-02-11 |
| 1689000986 | Hospice Advantage, LLC. | Hospice Care, Community Based | 115 Blarney Dr, Suite 202a, Columbia, SC 29223-6291 | 2013-09-18 |
| 1326488248 | Heartstrings Hospice, LLC | Hospice Care, Community Based | 115 Blarney Dr, Suite 109, Columbia, SC 29223-6291 | 2013-06-25 |
| 1053486050 | Jca Inc | Clinic/Center | 115 Blarney Dr, Columbia, SC 29223-6251 | 2006-11-22 |
| 1649292830 | Fonda Mae Wilkins | Nurse Practitioner | 115 Blarney Dr, Columbia, SC 29223-6291 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619522794 | Timothy Drew Edwards | Dentist | 122 N. Brickyard Rd, Columbia, SC 29223 | 2019-08-06 |
| 1861983249 | Southern Pain Specialists | Physical Medicine & Rehabilitation | 115 Blarney Dr Ste 111, Columbia, SC 29223 | 2018-05-22 |
| 1710481452 | Evans Counseling and Consulting, LLC | Social Worker | 120 Wildewood Park Dr Ste A, Columbia, SC 29223 | 2018-03-19 |
| 1750824819 | Marquita Heyward | Counselor | 1 Winsor Cove Suite 303, Columbia, SC 29223 | 2016-11-22 |
| 1578015509 | Carolina Family Pharmacy, LLC | Pharmacy | 9153 Two Notch Road, Columbia, SC 29223 | 2016-10-25 |
| 1225485170 | Lisa Diaz | Occupational Therapy Assistant | 7601 Parlane Rd, Columbia, SC 29223 | 2016-05-20 |
| 1295199859 | Sarah Ann Riley | Nurse Practitioner | Cvs Pharmacy 121 Clemson Rd., Columbia, SC 29223 | 2016-04-11 |
| 1134583214 | Sara Alisha Pound | Behavioral Analyst | 97b Winterberry Ln, Columbia, SC 29223 | 2016-04-05 |
| 1508227653 | Lucy Elvira Vicioso-harris | Counselor | 1310 Oakcrest Dr Apt 318, Columbia, SC 29223 | 2016-03-17 |
| 1134585243 | Robin Heaton | Occupational Therapy Assistant | 7601 Parklane Road, Columbia, SC 29223 | 2016-01-05 |
| Find all providers in zip 29223 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255945754 | Escobedo Advanced Healthcare Solutions LLC | General Practice | 121 Sparkleberry Crossing Rd Ste 200, Columbia, SC 29229-8639 | 2020-09-02 |
| 1295208403 | Sme Kentucky Psc | General Practice | 5728 Pergola Dr Apt 207, Columbia, MO 65201-2897 | 2019-01-10 |
| 1093218224 | Andrew Jason Doppelt | General Practice | 200 E Southampton Dr Ste 104, Columbia, MO 65203-3032 | 2018-03-14 |
| 1235648551 | Robert Calaluce | General Practice | 140 Walter Williams Hall, Columbia, MO 65211-1200 | 2017-09-29 |
| 1013301738 | Harold Woodliff Sanford Jr. | General Practice | 1829 Senate St Apt 9c, Columbia, SC 29201-3837 | 2015-03-19 |
| 1710383435 | Epoch - Central Missouri Limited Liability Company | General Practice | 2900 Trimble Rd., Columbia, MO 65201-6465 | 2014-11-06 |
| 1396093068 | Inder S Gujral | General Practice | 8795 Endless Ocean Way, Columbia, MD 21045-5938 | 2012-08-28 |
| 1407104482 | Gary Mosher Jones | General Practice | 2004 Riding Ridge Rd, Columbia, SC 29223-6713 | 2012-08-22 |
| 1972861854 | William Frederick Mcfadden | General Practice | 3121 Chinaberry Dr, Columbia, SC 29204-3664 | 2012-04-27 |
| 1215255617 | Barr Enterprises,llc | General Practice | 112 Norse Dr, Columbia, SC 29229-3304 | 2010-05-10 |
| Find all providers in COLUMBIA | ||||
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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.