PALMETTO PRIMARY CARE PHYSICIANS (NPI# 1710209564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710209564 |
| Entity Type | Organization |
| Organization Name | PALMETTO PRIMARY CARE PHYSICIANS |
| Practice Address |
300 Maple St W Hampton SC 29924-3238 |
| Mailing Address |
201 Sigma Dr Ste 100 Summerville SC 29486-7715 |
| Practice Telephone | 8039433818 |
| Practice Fax Number | 8039435971 |
| Mailing Telephone | 8039433818 |
| Mailing Fax Number | 8435695881 |
| Enumeration Date | 2010-02-22 |
| 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 |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 28595 | SC | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 23033 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP5367 | 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 |
300 MAPLE ST W |
| City | HAMPTON |
| State | SC |
| Zip Code | 29924-3238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033119854 | Luis R Vega | Family Medicine | 300 Maple St W, Hampton, SC 29924-3238 | 2005-07-22 |
| 1588160121 | Michelle A. Young | Physician Assistant | 300 Maple St W, Hampton, SC 29924 | 2018-04-03 |
| 1104321983 | Lucy N. Lapoint | Physician Assistant | 300 Maple St W, Hampton, SC 29924 | 2018-03-26 |
| 1427509124 | Alison O. Inglis | Physician Assistant | 300 Maple St W, Hampton, SC 29924-3238 | 2016-10-18 |
| 1790744662 | Mary L Bowen | Nurse Practitioner | 300 Maple St W, Hampton, SC 29924-3238 | 2006-03-20 |
| 1902875305 | Rosita M Vega | Pediatrics | 300 Maple St W, Hampton, SC 29924-3238 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295247526 | Brittany Bernardino | Pharmacist | 1703 Elm Street W, Hampton, SC 29924 | 2017-10-26 |
| 1497278345 | Bryce Alan Stafford | Pharmacist | 1703 Elm Street West, Hampton, SC 29924 | 2017-07-24 |
| 1427486034 | Teresa L Gooding | Pharmacist | 1703 Elm Stree West, Hampton, SC 29924 | 2013-10-16 |
| 1811241672 | Sc Department of Juvenile Justice | Community/Behavioral Health | 230 1st Street East, Suite 7, Hampton, SC 29924 | 2012-11-01 |
| 1164771994 | Katie M Krise | Pharmacist | 705 Elm Street West, Hampton, SC 29924 | 2012-09-07 |
| 1801164587 | Susan R Britt | Specialist | 707 Elm St, Hampton, SC 29924 | 2011-12-08 |
| 1821384728 | John C Wagner | Pharmacist | 1703 Elm St W, Hampton, SC 29924 | 2011-06-20 |
| 1235424367 | Stanley Joseph Sledziona Jr. | Pharmacist | 1703 Elm St. W, Hampton, SC 29924 | 2011-06-16 |
| 1194010348 | Denise A. Pinckney | Pharmacist | 1703 Elm St West, Hampton, SC 29924 | 2011-06-16 |
| 1154430049 | Francis Asbury Mills | Dentist | 202 3rd St. East, Hampton, SC 29924 | 2006-08-30 |
| Find all providers in zip 29924 | ||||
| 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 |
|---|---|---|---|---|
| 1053843987 | Jessica Weng | Family Medicine | 191 Fox Hill Rd Ste D, Hampton, VA 23669-2360 | 2017-03-30 |
| 1831621887 | Allen Family Healthcare LLC | Family Medicine | 149 Berkeley Way, Hampton, GA 30228-4082 | 2017-03-29 |
| 1700174117 | Rodney Leron Thompson | Family Medicine | Patient First - Hampton, 2304 W Mercury Blvd, Hampton, VA 23666 | 2011-07-19 |
| 1255626602 | Daniel Adrian Whitelocke | Family Medicine | 402 S Lee St, Hampton, AR 71744-8615 | 2011-06-14 |
| 1386893592 | Carlos F Acosta Md Ltd | Family Medicine | 2100 Hartford Rd, Hampton, VA 23666-2409 | 2008-09-11 |
| 1396908067 | Robert Scott Fell | Family Medicine | 850 Enterprise Pkwy Ste 2200, Hampton, VA 23666-6252 | 2008-07-03 |
| 1578781704 | Shahbaz Khan | Family Medicine | 850 Gateway Blvd., Hampton, VA 23666 | 2007-04-23 |
| 1477680858 | Tidewater Family Medicine, P C | Family Medicine | 2114a Hartford Rd, Hampton, VA 23666-2409 | 2007-02-27 |
| 1720150246 | North Hunterdon Physician Assoc | Family Medicine | 37 Rupell Rd, Hampton, NJ 08827 | 2006-11-14 |
| 1740350669 | Shirin Valiani | Family Medicine | 25 Goss Drive, Hampton, GA 30228-1855 | 2006-11-08 |
| Find all providers in HAMPTON | ||||
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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.