PALMETTO HEALTH


Address: 100 Palmetto Health Pkwy, Suite 250b, Columbia, SC 29212-1753
Phone: 8034073734

PALMETTO HEALTH (NPI# 1649511320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649511320
Entity Type Organization
Organization Name PALMETTO HEALTH
Other Organization Name PARKRIDGE OB/GYN
Practice Address 100 Palmetto Health Pkwy
Suite 250b
Columbia
SC 29212-1753
Mailing Address Po Box 402145
Atlanta
GA 30384-2145
Practice Telephone 8034073734
Practice Fax Number 8034073133
Mailing Telephone 8032967305
Mailing Fax Number 8032967330
Enumeration Date 2013-03-06
Last Update Date 2016-06-24
Authorized Official Name DARRELL COVEN (DIRECTOR, AMBULATORY SERVICES-FIN)
Authorized Official Telephone 8032967301
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC GP6159 05

Other Provider/Organization Names

Other Name Type Code
Parkridge OB/GYN Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 100 PALMETTO HEALTH PKWY
SUITE 250B
City COLUMBIA
State SC
Zip Code 29212-1753

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447221098 Eric N Hutto Family Medicine 100 Palmetto Health Pkwy, Suite 220, Columbia, SC 29212-1753 2006-01-31
1184157356 Sara Mae Delaney Nelson-owens Family Medicine 100 Palmetto Health Pkwy, Columbia, SC 29212-1753 2017-04-05
1457802985 Palmetto Health Orthopaedic Surgery 100 Palmetto Health Pkwy, Suite 320, Columbia, SC 29212-1753 2016-10-19
1336507623 Sara Brittany Woodberry Nurse Practitioner 100 Palmetto Health Pkwy, Suite 104, Columbia, SC 29212-1753 2016-02-02
1487040192 Columbia Gastroenterology Associates Clinic/Center 100 Palmetto Health Pkwy, Suite 102, Columbia, SC 29212-1753 2015-04-09
1366781163 Michelle Lyn Blakley Nurse Practitioner 100 Palmetto Health Pkwy, Suite 220, Columbia, SC 29212-1753 2013-02-14
1063783942 James Thomas Miller Nurse Practitioner 100 Palmetto Health Pkwy, Columbia, SC 29212 2012-01-24
1467612903 Palmetto Health Family Medicine 100 Palmetto Health Pkwy, Suite 104, Columbia, SC 29212-1753 2008-06-09
1659571347 Carlos Miguel Torres Family Medicine 100 Palmetto Health Pkwy, Suite 220, Columbia, SC 29212-1753 2007-07-20
1669678140 University Specialty Clinics - Ophthalmology Eyewear Supplier (Equipment, not the service) 100 Palmetto Health Pkwy, Suite 350, Columbia, SC 29212-1753 2007-06-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245758887 Amanda Gail Holloman Pharmacist 6021 St. Andrews Road, Columbia, SC 29212 2017-09-04
1578080180 Alvin Mitchell Jr. Non-emergency Medical Transport (VAN) 10 Breezewood Court, Columbia, SC 29212 2017-08-24
1467975102 Shelby Clemmer Behavior Technician 2 Harbison Way, Columbia, SC 29212 2017-07-25
1982149019 Showntellem Private Vehicle 336 Foxfire Dr, Columbia, SC 29212 2016-12-28
1902215296 Miranda Willis Adult Day Care, LLC Social Worker 5932 Mcmillian Circle, Columbia, SC 29212 2014-08-12
1013342591 Robert Glendon Long Pediatrics 15 Woodpine Ct, Columbia, SC 29212 2013-09-04
1174969638 Melinda Dumas Crenshaw Psychologist 2800 Ashland Rd., Columbia, SC 29212 2013-05-10
1417209982 Physician Services LLC Internal Medicine 214 Lake Front Drive, Physician Services, Cola, SC 29212 2012-10-09
1306131800 Rocky Mountain Holdings LLC Ambulance 6015 Saint Andrews Rd, Columbia, SC 29212 2011-06-13
1023262839 Candace Anne Aguiar Nurse Anesthetist, Certified Registered 400 Palmetto Health Pkwy, Palmetto Health Baptist Parkridge, Columbia, SC 29212 2008-11-06
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447868005 Brittany Mechelle Waterworth Family Medicine 3700 I 70 Dr Se Ste 106, Columbia, MO 65201-6587 2020-07-20
1730706839 John James Gannon Family Medicine Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 2020-07-06
1053938852 Garrison Glenn Rice Family Medicine Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 2020-06-29
1457977563 Jenny Tatiana Gonzalez Guzman Family Medicine Prisma Health Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 2020-06-24
1942825500 Jarvis Jamal Johnson Family Medicine Prisma Health Family Medicine Center, 3209 Colonial Drive, Columbia, SC 29203 2020-06-10
1386268183 Nicolas Anthony Limogiannis Family Medicine Prisma Health Medical Group Family Medicine Center, 3209 Colonial Drive, Columbia, SC 29203 2020-06-08
1730724220 Luci Lee Redman Cassella Family Medicine 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 2019-11-08
1275177420 Palmetto Primary Care Physicians Family Medicine 1415 Blanding St Ste 2, Columbia, SC 29201-2922 2019-10-31
1558919852 Synergos Medical, LLC Family Medicine 1703 Oak Cliff Pl, Columbia, MO 65203-4719 2019-08-29
1972156982 Maury Regional Medical Group, Inc Family Medicine 2478 Nashville Hwy Ste A, Columbia, TN 38401-0634 2019-07-18
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Competitor

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City COLUMBIA
Zip Code 29212

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Dataset Information

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.

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