Decipher Medical at Palmetto Bluff

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

DECIPHER MEDICAL AT PALMETTO BLUFF

Practice address

15 Buckhead Bay Rd Unit 1501
Bluffton, SC 29910-8071

Phone

(210) 861-9819

NPI assigned

Jun 24, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Santos John Dominguez II

Title

Director of Operations

Phone

(210) 861-9819

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1782259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782259200000",
    "number": "1003732025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BUCKHEAD BAY RD UNIT 1501",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299108071",
            "telephone_number": "210-861-9819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BUCKHEAD BAY RD UNIT 1501",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299108071",
            "telephone_number": "210-861-9819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECIPHER MEDICAL AT PALMETTO BLUFF",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-24",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "SANTOS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "210-861-9819",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Daughtrey, BCBA
• Ardra R Davis-Tolbert, MD
• Anna M Davis, PTA
• Christopher Taylor Davis, DMD
• Courtney D Davis, D.D.S
• Tina K Decker, OTR
• Caitlin Rose Degray, D.P.T.
• Miriam Stewart Dehart, MPT
• Sarah Elizabeth Delasko
• Shelly Christine Deleeuw, PTA

• Primary Care Clinic/Center in Bluffton, SC
• Providers in Bluffton, SC by specialty
• Primary Care Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.