PALMETTO PRIMARY CARE PHYSICIANS (NPI# 1508830217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508830217 |
| Entity Type | Organization |
| Organization Name | PALMETTO PRIMARY CARE PHYSICIANS |
| Practice Address |
104 Funk Ave Saint Stephen SC 29479-3383 |
| Mailing Address |
201 Sigma Dr Ste 100 Summerville SC 29486-7715 |
| Practice Telephone | 8435673206 |
| Practice Fax Number | 8435673287 |
| Mailing Telephone | 8435673206 |
| Mailing Fax Number | 8435695881 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2016-09-12 |
| 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 |
|---|---|---|---|---|---|
| Y | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
13550 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | PA0169 | 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 |
104 FUNK AVE |
| City | SAINT STEPHEN |
| State | SC |
| Zip Code | 29479-3383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386649085 | Samuel Owens Schumann Jr. | Family Medicine | 104 Funk Ave, Saint Stephen, SC 29479-3383 | 2005-06-17 |
| 1659541613 | Family Practice of St. Stephen, Pa | Family Medicine | 104 Funk Ave, Saint Stephen, SC 29479-3383 | 2008-03-06 |
| 1245223494 | Barbara F Gregg | Family Medicine | 104 Funk Ave, Saint Stephen, SC 29479-3383 | 2005-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316580707 | Aletha Mae Perkins | Technician | 410 Honeysuckle Lane, St. Stephen, SC 29479 | 2019-10-18 |
| 1356504997 | Jamie Yates Driggers | Dentist | 133 Cedar Drive, Saint Stephen, SC 29479 | 2008-07-03 |
| 1043232218 | Dr Charles D. Myers, Jr Dmd | Dentist | 133 Cedar Street, St Stephen, SC 29479 | 2006-07-24 |
| 1982622692 | Charles D Myers Jr. | Dentist | 133 Cedar St, St Stephen, SC 29479 | 2006-07-18 |
| 1235685843 | Cedar Drive Family Dentistry | Dentist | 133 Cedar Drive, Saint Stephen, SC 29479 | 2016-09-01 |
| 1245684521 | Pds Home Health Care and Management | Point of Service | 109 Childrens Lane, St. Stephens, SC 29479-0109 | 2016-04-22 |
| 1346470150 | Jamie Y Driggers Dmd Inc. | Dentist | 133 Cedar Street, Saint Stephen, SC 29479-0760 | 2009-07-15 |
| 1306882428 | Indepak Inc | Pharmacy | 3931-d Byrnes Drive, Saint Stephen, SC 29479-0910 | 2006-06-20 |
| 1043291263 | Clarendon Memorial Hospital | Skilled Nursing Facility | 1038 Mcgill Ln, Saint Stephen, SC 29479-3196 | 2005-11-07 |
| 1437629946 | Jennifer Finch Agema | Physical Therapy Assistant | 1038 Mcgill Ln, Saint Stephen, SC 29479-3196 | 2018-11-27 |
| Find all providers in zip 29479 | ||||
| Taxonomy Code | 207QA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adolescent Medicine |
| A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194829218 | Burnt Church Primary and Urgent Care, LLC | Family Medicine | 1 Burnt Church Rd, Bluffton, SC 29910-6405 | 2006-09-11 |
| 1528556362 | Hollie Elizabeth Ables | Family Medicine | 2000 E Greenville St Ste 3700, Anderson, SC 29621-1725 | 2018-04-26 |
| 1184075640 | William Kliphpatrick Love | Family Medicine | 853 N Church St Ste 510, Spartanburg, SC 29303-3077 | 2016-06-27 |
| 1821460395 | Ghs Partners In Health, Inc. | Family Medicine | 717 Se Main St, Simpsonville, SC 29681-3237 | 2015-10-23 |
| 1871924167 | Focus Sc 1009, LLC | Family Medicine | 900 Bowman Rd, Suite 303, Mt Pleasant, SC 29464 | 2013-12-11 |
| 1689840514 | James Alan Henderson | Family Medicine | 2750 Laurel St, Suite 103, Columbia, SC 29204-2038 | 2008-04-30 |
| 1285774125 | Clio Medical Center,inc | Family Medicine | 200 Main St, Clio, SC 29525 | 2007-02-08 |
| 1679613525 | Pravin R Patel Md. | Family Medicine | 200 Main St, Clio, SC 29525 | 2007-02-08 |
| 1922022417 | Adolescent Medicine Associates | Family Medicine | 900 Bowman Rd, Suite 304, Mt Pleasant, SC 29464-3203 | 2006-07-27 |
| 1528089240 | Charles Murry Thompson | Family Medicine | 900 Bowman Rd, Suite 304, Mt Pleasant, SC 29464-3203 | 2006-07-21 |
| Find all providers with the same taxonomy | ||||
| City | SAINT STEPHEN |
| Zip Code | 29479 |
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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.