Palmetto Primary Care Physicians, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PALMETTO PRIMARY CARE PHYSICIANS, LLC

Practice address

7611 Saint Andrews Rd
Irmo, SC 29063-2834

Phone

(803) 274-6099

Fax

(803) 302-4020

NPI assigned

Oct 23, 2019

Organization subpart

No

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

Authorized official

Name

Scott Turner

Title

Ceo

Phone

(843) 956-6071

Specialties & licenses 1

Addresses

Other names 2

• Palmetto Advanced Therapy Services LLC Doing business as
• Palmetto Advanced Therapy Services, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 1

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

• Lori Anne Johnson, PA

  • Medical Physician Assistant
  • Summerville, SC
  • NPI 1437554425
  NPD

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1073156972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530062",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303530062",
            "telephone_number": "843-695-6071",
            "fax_number": "843-569-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7611 SAINT ANDREWS RD",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632834",
            "telephone_number": "803-274-6099",
            "fax_number": "803-302-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO PRIMARY CARE PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-23",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-956-6071"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palmetto Advanced Therapy Services LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palmetto Advanced Therapy Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Palmetto Health - University of South Carolina Medical Group
• Palmetto Hospice, LLC
• Palmetto Medical Equipment of Irmo LLC
• Palmetto Ophthalmology Associates, P.a.
• Palmetto Primary Care Physicians
• Palmetto Primary Care Physicians, LLC
• Palmetto Primary Care Physicians, LLC
• Palmetto Therapist LLC
• Lois Glennette Pappas, RN
• Cassandra Nicole Parra-Ferro, PA-C

• Physical Therapy Clinic/Center in Irmo, SC
• Providers in Irmo, SC by specialty
• Physical Therapy Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.