PALMETTO HEALTH (NPI# 1700274966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700274966 |
| Entity Type | Organization |
| Organization Name | PALMETTO HEALTH |
| Other Organization Name | BALLENTINE FAMILY MEDICINE |
| Practice Address |
1079 Dutch Fork Rd Irmo SC 29063-8725 |
| Mailing Address |
Po Box 402145 Atlanta GA 30384-2145 |
| Practice Telephone | 8037498900 |
| Practice Fax Number | 8037498899 |
| Mailing Telephone | 8032967303 |
| Mailing Fax Number | 8032967330 |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2015-06-17 |
| Authorized Official Name | MR. DARRELL C COVEN (DIRECTOR OF AMBULATORY SRVC 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 | 207Q00000X | Family Medicine | SC | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Ballentine Family Medicine | 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 |
1079 DUTCH FORK RD |
| City | IRMO |
| State | SC |
| Zip Code | 29063-8725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730320870 | Barbara S Hall | Nurse Practitioner | 1079 Dutch Fork Rd, Irmo, SC 29063-8725 | 2009-03-19 |
| 1811531536 | Anna Swartz | Physician Assistant | 1079 Dutch Fork Rd, Irmo, SC 29063-8725 | 2019-11-06 |
| 1033607809 | Palmetto Health - University of South Carolina Medical Group | Family Medicine | 1079 Dutch Fork Rd, Irmo, SC 29063-8725 | 2018-04-27 |
| 1417485574 | Gretchen Rochester Kaune | Nurse Practitioner | 1079 Dutch Fork Rd, Irmo, SC 29063-8725 | 2017-06-01 |
| 1629427422 | Christian Baker | Family Medicine | 1079 Dutch Fork Rd, Irmo, SC 29063-8725 | 2016-06-13 |
| 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.