Active NPI
Devon M Palmer
- Athletic Trainer
- Hilton Head Island, SC
National Provider Identifier
1053071209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT2645
- Practice address
- 39 Hospital Center CMNS
Hilton Head Island, SC 29926-2837 - Phone
- (843) 226-7542
- NPI assigned
- Dec 28, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT2645 | SC | Primary |
Addresses
Primary practice location
39 Hospital Center CMNS
Hilton Head Island, SC 29926-2837
Mailing address
2 E Park Loop
Bluffton, SC 29910-4518
Phone (740) 215-8149
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | devon.palmer@irg.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT2645 | SC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640649600000",
"number": "1053071209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 E PARK LOOP",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299104518",
"telephone_number": "740-215-8149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 HOSPITAL CENTER CMNS",
"city": "HILTON HEAD ISLAND",
"state": "SC",
"postal_code": "299262837",
"telephone_number": "843-226-7542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "DEVON",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-12-28",
"last_updated": "2021-12-28",
"certification_date": "2021-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "SC",
"license": "AT2645",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "devon.palmer@irg.net",
"affiliation": "N",
"endpointDescription": "Work Email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "39 Hospital Center Cmns",
"city": "Hilton Head Island",
"state": "SC",
"country_code": "US",
"postal_code": "299262837",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Hilton Head Island, SC
- Outpatient Surgery Center of Hilton Head
- Benjamin D Overley Jr., D.P.M.
- P & P Medical Equipment LLC
- Arnold Tacmo Pagatpatan, OTR/L
- Albert Sharafe Palatchi, M.D.
- Palmetto Anesthesia and Pain, LLC
- Palmetto Eye Specialists, P.a.
- Palmetto Medical Center
- Palmetto Therapy Hhi LLC
- Palmetto Therapy Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.