Palmetto Medical Group PLLC
A Medicare group practice based in Waxhaw, NC: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5496823817), with 17 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 5496823817
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- NC, SC
- Enrollments
- 2
- Group size
- 4 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20081010000785 | SC | Part B Supplier - Clinic/Group Practice | 1467629261 |
| O20241231002262 | NC | Part B Supplier - Clinic/Group Practice | 1922522150 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Palmetto Medical Group, PLLC
dba Palmetto Medical Group
- Internal Medicine Physician
- Indian Land, SC
- NPI 1467629261
-
Palmetto Medical Group, PLLC
- Internal Medicine Physician
- Waxhaw, NC
- NPI 1922522150
Practice locations
- Indian Land, SC1
- Waxhaw, NC1
Clinicians 17
Clinicians who reassign their Medicare benefits to this group (17) or whom Care Compare lists as members (4).
-
Lavaniya Beesley, M.D.
- Internal Medicine Physician
- Camp Hill, PA
- NPI 1972882827
-
Tara C. Brady, PHYSICAL THERAPIST
- Physical Therapist
- Greenville, SC
- NPI 1427028869
-
Jean-Ronel Corbier, MD
- Neurology with Special Qualifications in Child Neurology Physician
- Indian Land, SC
- NPI 1225193105
-
Olha Danchyshyn
- Nurse Practitioner
- Indian Land, SC
- NPI 1477339984
-
Jessy George
- Family Nurse Practitioner
- Chester, SC
- NPI 1497222426
-
Daniel Terrell Kirkley, MMS. PA-C
- Physician Assistant
- Indian Land, SC
- NPI 1245748045
-
Claris Joanne Livingstone
- Psychiatric/Mental Health Nurse Practitioner
- Mooresville, NC
- NPI 1992321962
-
Lalita Shraavya Mandavilli, MD
- Internal Medicine Physician
- Charlotte, NC
- NPI 1649504176
-
Fatai B Oluyadi, MD
- Internal Medicine Physician
- Lancaster, SC
- NPI 1194242305
-
Adediji Osinloye, M.D.
- Internal Medicine Physician
- Charlotte, NC
- NPI 1316993462
-
Kishor Valajibhai Patel, PA-C
- Physician Assistant
- Fort Mill, SC
- NPI 1841613437
-
Nimish Kantilal Patel, MD
- Family Medicine Physician
- Indian Land, SC
- NPI 1710141668
-
Rajesh Rohilla, MD
- Hospitalist Physician
- Rock Hill, SC
- NPI 1003074154
-
Blenda Christina Ruggiero, PA-C
- Physician Assistant
- Lancaster, SC
- NPI 1437363314
-
Marie Cristine Sena, APRN FNP-C
- Family Nurse Practitioner
- Fort Mill, SC
- NPI 1285265298
-
Amit G Shah, MD
- Internal Medicine Physician
- Indian Land, SC
- NPI 1740288323
-
Alexa-Gail Ruth-Ann Woolery, APRN
- Family Nurse Practitioner
- Indian Land, SC
- NPI 1053000927
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.