PALMETTO PRIMARY CARE PHYSICIANS, LLC (NPI# 1609410794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609410794 |
| Entity Type | Organization |
| Organization Name | PALMETTO PRIMARY CARE PHYSICIANS, LLC |
| Other Organization Name | PALMETTO PRIMARY CARE PHYSICIANS-COLUMBIA LABORATORY |
| Practice Address |
7430 College St Irmo SC 29063-2903 |
| Mailing Address |
201 Sigma Dr Ste 100 Summerville SC 29486-7722 |
| Practice Telephone | 8033509433 |
| Mailing Telephone | 8436956071 |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2019-11-12 |
| Authorized Official Name | THOMAS BRANTLEY ARNAU (DIRECTOR) |
| Authorized Official Telephone | 8435727727 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Palmetto Primary Care Physicians-Columbia Laboratory | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134734262 | Palmetto Primary Care Physicians, LLC | Radiology | 5500 Front St Ste 240, Summerville, SC 29486-7735 | 2020-09-15 |
| 1841801149 | Palmetto Primary Care Physicians, LLC | Family Medicine | 1200 Two Island Ct Unit E, Mt Pleasant, SC 29466-7418 | 2020-08-11 |
| 1306480702 | Palmetto Primary Care Physicians, LLC | Clinic/Center | 119 Springhall Dr Ste A2, Goose Creek, SC 29445-5368 | 2019-10-30 |
| 1740647650 | Palmetto Primary Care Physicians, LLC | Family Medicine | 201 Sigma Dr, Ste 100, Summerville, SC 29486-7715 | 2016-01-22 |
| 1073156972 | Palmetto Primary Care Physicians, LLC | Clinic/Center | 7611 Saint Andrews Rd, Irmo, SC 29063-2834 | 2019-10-23 |
| 1407365414 | Palmetto Primary Care Physicians, LLC | Clinic/Center | 4340 Ladson Rd Ste B, Ladson, SC 29456-6444 | 2017-09-21 |
| 1366974644 | Palmetto Primary Care Physicians, LLC | Psychiatry & Neurology | 110b Springhall Dr, Goose Creek, SC 29445-5335 | 2017-03-28 |
| 1659660645 | Palmetto Primary Care Physicians, LLC | Nutritionist | 2500 Elms Center Rd, N Charleston, SC 29406-9844 | 2011-03-31 |
| Street Address |
7430 COLLEGE ST |
| City | IRMO |
| State | SC |
| Zip Code | 29063-2903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265434013 | Louis Carey Hite | Internal Medicine | 7430 College St, Irmo, SC 29063-2903 | 2005-08-11 |
| 1922612423 | Ppcp Specialty Physicians, LLC | Internal Medicine | 7430 College St, Irmo, SC 29063-2903 | 2020-09-02 |
| 1568925071 | Palmetto Primary Care Physicians | Family Medicine | 7430 College St, Irmo, SC 29063-2903 | 2019-04-11 |
| 1760445597 | Three Rivers Medical Associates, Pa | Internal Medicine | 7430 College St, Irmo, SC 29063-2903 | 2006-04-11 |
| 1023087277 | James T Fields | Internal Medicine | 7430 College St, Irmo, SC 29063-2903 | 2006-03-17 |
| 1316916273 | Sarah Marie Schumacher | Family Medicine | 7430 College St, Irmo, SC 29063-2903 | 2006-03-14 |
| 1790755353 | Kaoru Joan Pridgen | Family Medicine | 7430 College St, Irmo, SC 29063-2903 | 2006-01-25 |
| 1104811355 | Louise C. Holmes | Nurse Practitioner | 7430 College St, Irmo, SC 29063-2903 | 2005-09-14 |
| 1194718841 | Amjad Abdulrahman | Internal Medicine | 7430 College St, Irmo, SC 29063-2903 | 2005-08-29 |
| 1982696829 | David Keith Bridgers | Internal Medicine | 7430 College St, Irmo, SC 29063-2903 | 2005-08-17 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1790114197 | Augustine Health Group, LLC | Family Medicine | 110 Dutchman Blvd, Irmo, SC 29063-8330 | 2013-11-06 |
| 1508872367 | William J Fravel Jr. | Family Medicine | 1846 Dutch Fork Rd, Irmo, SC 29063-8830 | 2006-08-01 |
| 1154354827 | Lexington County Health Services District, Inc. | Family Medicine | 1846 Dutch Fork Road, Irmo, SC 29063 | 2006-07-08 |
| 1508831579 | Jamee H Steen | Family Medicine | 1079 Dutch Fork Road, Irmo, SC 29063 | 2006-02-22 |
| 1922098680 | Stanley Winger Mccloy Jr. | Family Medicine | 7142 Woodrow St, Suite B, Irmo, SC 29063-2832 | 2005-10-25 |
| 1568925071 | Palmetto Primary Care Physicians | Family Medicine | 7430 College St, Irmo, SC 29063-2903 | 2019-04-11 |
| 1184113615 | Palmetto Primary Care Physicians | Family Medicine | 7611 Saint Andrews Rd, Irmo, SC 29063 | 2018-05-10 |
| 1033607809 | Palmetto Health - University of South Carolina Medical Group | Family Medicine | 1079 Dutch Fork Rd, Irmo, SC 29063-8725 | 2018-04-27 |
| 1558710376 | Providence Physician Practices LLC | Family Medicine | 7936 Broad River Rd, Irmo, SC 29063-2355 | 2016-06-13 |
| 1629427422 | Christian Baker | Family Medicine | 1079 Dutch Fork Rd, Irmo, SC 29063-8725 | 2016-06-13 |
| 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.