Palm Grove Regional Health, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PALM GROVE REGIONAL HEALTH, LLC

Practice address

415 Market St
Cheraw, SC 29520-2636

Phone

(843) 927-0173

NPI assigned

Nov 13, 2023

Organization subpart

No

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

Authorized official

Name

Eric Morse Willoughby, DNPNPI 1598802738

Title

Ceo/President

Phone

(573) 202-9865

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Tax ID family

Palm Grove Regional Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Palm Grove Regional Health, LLC

  • Rural Health Clinic/Center
  • Cheraw, SC
  • NPI 1679404156
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Palm Grove Regional Health, LLC

  • Rural Health Clinic/Center
  • Cheraw, SC
  • NPI 1679404156
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric M. Willoughby, FNP-BC

  • Family Nurse Practitioner
  • Cheraw, SC
  • NPI 1598802738
  Medicare reassignment Care Compare group NPD Authorized official
• Paseo Shatelle Douglas, NP

  • Family Nurse Practitioner
  • Florence, SC
  • NPI 1972155471
  Medicare reassignment Care Compare group NPD
• Benjamin Wells Weston, MD

  • Family Medicine Physician
  • Sumter, SC
  • NPI 1225419252
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751068800000",
    "number": "1043084817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 MARKET ST # 1553",
            "city": "CHERAW",
            "state": "SC",
            "postal_code": "295202428",
            "telephone_number": "843-927-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 MARKET ST",
            "city": "CHERAW",
            "state": "SC",
            "postal_code": "295202636",
            "telephone_number": "843-927-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM GROVE REGIONAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2025-06-28",
        "certification_date": "2025-06-28",
        "status": "A",
        "authorized_official_last_name": "WILLOUGHBY",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "MORSE",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "573-202-9865",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Kershaw Newsom Jr., MD
• Travis Andrew Novinger, M.D.
• Owens Eyecare Center Inc
• Richard E Owens, O.D.
• P & H Discount Pharmacy
• Palm Grove Regional Health, LLC
• Palmetto Family Medicine of Chesterfield County, LLC
• Palmetto Ridge Assisted Living & Memory Care LLC
• Passionate Grove Safe Haven
• Winston J Plunkett, MD

• Family Medicine Physician in Cheraw, SC
• Providers in Cheraw, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.