PALMETTO PRIMARY CARE PHYSICIANS (NPI# 1699140103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699140103 |
| Entity Type | Organization |
| Organization Name | PALMETTO PRIMARY CARE PHYSICIANS |
| Practice Address |
9313 Medical Plaza Dr Suite 308 Charleston SC 29406-9155 |
| Mailing Address |
201 Sigma Dr Ste 100 Summerville SC 29486-7715 |
| Practice Telephone | 8437253525 |
| Practice Fax Number | 8435740074 |
| Mailing Telephone | 8435727727 |
| Mailing Fax Number | 8435695881 |
| Enumeration Date | 2015-12-09 |
| 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 | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| 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 |
9313 MEDICAL PLAZA DR SUITE 308 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29406-9155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053319400 | John Williams Plyler | Psychiatry & Neurology | 9313 Medical Plaza Dr, Suite 310, Charleston, SC 29406-9155 | 2005-07-11 |
| 1992237275 | Rhonda L. Cumbee | Nurse Practitioner | 9313 Medical Plaza Dr, Suite 202, Charleston, SC 29406-9155 | 2017-03-28 |
| 1871032086 | Ppcp Specialty Physicians, LLC | Psychiatry & Neurology | 9313 Medical Plaza Dr, Ste 310, Charleston, SC 29406-9155 | 2017-02-21 |
| 1902351448 | Jillian N. White | Nurse Practitioner | 9313 Medical Plaza Dr, Suite 202, Charleston, SC 29406-9155 | 2016-08-24 |
| 1578918504 | Clemson Sports Medicine and Rehabilitation, Inc | Rehabilitation Unit | 9313 Medical Plaza Dr, Suite 306, Charleston, SC 29406-9155 | 2016-04-27 |
| 1831565035 | Kerrison | Neurological Surgery | 9313 Medical Plaza Dr, Suite 305, Charleston, SC 29406-9155 | 2015-08-11 |
| 1740575307 | Robert Matthew Carlile | Psychiatry & Neurology | 9313 Medical Plaza Dr, Suite 310, Charleston, SC 29406-9155 | 2011-06-12 |
| 1285860098 | Palmetto Vein Specialists, LLC | Clinic/Center | 9313 Medical Plaza Dr, Ste 303, Charleston, SC 29406-9155 | 2009-06-08 |
| 1235327230 | Lowcountry Hematology & Oncology, Pa | Specialist | 9313 Medical Plaza Dr, Suite 204, Charleston, SC 29406-9155 | 2007-10-04 |
| 1508921750 | Charleston Neurology Associates, LLC | Psychiatry & Neurology | 9313 Medical Plaza Dr, Suite 310, Charleston, SC 29406-9155 | 2006-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023622289 | Sara Desmarais | Physical Therapist | 2760 Tricom St, North Charleston, SC 29406 | 2020-09-04 |
| 1669036448 | Pink Elephant Autism Project | In Home Supportive Care | 8738 Red Oak Drive, Charleston, SC 29406 | 2019-04-26 |
| 1083171185 | Medical University Hospital Authority | Pharmacy | 2250 Mall Drive, North Charleston, SC 29406 | 2019-02-25 |
| 1336627371 | Truesdale Medical Center LLC | Internal Medicine | 6296 Rivers Ave., Suite 310, N. Charleston, SC 29406 | 2018-08-01 |
| 1164914552 | Amanda R Dipiazza | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr Ste E, Charleston, SC 29406 | 2018-06-01 |
| 1982148490 | Trident Medical Center | Psychiatric Hospital | 9225 C Medical Plaza Drive, Charleston, SC 29406 | 2016-12-19 |
| 1649726217 | First Choice Counseling Services, LLC | Community/Behavioral Health | 2245 Greenridge Rd., Unit#414, North Charleston, SC 29406 | 2016-09-01 |
| 1821443896 | Liberty Doctors, LLC | Family Medicine | 9275 D Medical Plaza Dr., North Charleston, SC 29406 | 2016-04-27 |
| 1174984645 | Ashia George | Developmental Therapist | 6650 Rivers Avenue, Ste 100, Charleston, SC 29406 | 2016-03-11 |
| 1023488582 | Etta Smith | Counselor | 2470 Mall Dr Unit Cd, North Charleston, SC 29406 | 2015-09-28 |
| Find all providers in zip 29406 | ||||
| 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 |
|---|---|---|---|---|
| 1811595499 | Laura Coolidge | Family Medicine | 1528 Seacroft Rd, Charleston, SC 29412-8113 | 2020-10-15 |
| 1356954259 | Relymd Medical Group Wv, Pllc | Family Medicine | 1627 Quarrier St, Charleston, WV 25311-2124 | 2020-08-28 |
| 1922617950 | Fred E Hill | Family Medicine | 1033 Jervey Point Rd, Charleston, SC 29492-8372 | 2020-07-27 |
| 1093375222 | Valley Health Systems, Inc. | Family Medicine | 333 Laidley St Fl 6, Charleston, WV 25301-1614 | 2019-06-19 |
| 1427512201 | Catherine Courtney Slemp | Family Medicine | 350 Capitol St Rm 702, Charleston, WV 25301-1757 | 2019-01-25 |
| 1730677709 | Courtney Uhlar | Family Medicine | 169 Ashley Ave # Msc333, Charleston, SC 29425-9125 | 2018-04-25 |
| 1134617335 | Kelsey Rose Wilson | Family Medicine | 169 Ashley Ave. Room 202, Main Hospital Msc 333, Charleston, SC 29425-9125 | 2018-04-24 |
| 1659869816 | Anthony James Baglio | Family Medicine | 169 Ashley Avenue, Room 202 Main Hospital, Msc 333, Charleston, SC 29425 | 2018-04-24 |
| 1396252219 | Lisa Ann Oshaughnessy Turnure | Family Medicine | 3 Sawgrass Rd Apt I6, Charleston, SC 29412-2579 | 2017-12-30 |
| 1720467525 | Sasha M. Perez | Family Medicine | 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 | 2015-05-26 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29406 |
Please comment or provide details below to improve the information on PALMETTO PRIMARY CARE PHYSICIANS.
| 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.