Palmetto Assisted Living Medical Group PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PALMETTO ASSISTED LIVING MEDICAL GROUP PC

Practice address

25 China Cockle Way
Hilton Head, SC 29926-1907

Phone

(717) 994-1711

NPI assigned

Jun 27, 2022

Organization subpart

No

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

Authorized official

Name

David Castor, MDNPI 1073735155

Title

President

Phone

(717) 994-1711

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• David Randall Castor, M.D.

  • Family Medicine Physician
  • Bryson City, NC
  • NPI 1073735155

  SC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1083346258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2029",
            "city": "BRYSON CITY",
            "state": "NC",
            "postal_code": "287135029",
            "telephone_number": "828-735-2822",
            "fax_number": "828-538-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CHINA COCKLE WAY",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299261907",
            "telephone_number": "717-994-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO ASSISTED LIVING MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-27",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "CASTOR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-994-1711",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5917260",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orthopedic Associates of the Lowcountry, LLC (Medical Associates of Hilton Head)
• Orthosport Physical Therapy, LLC
• P and D LLC
• P23 Labs, LLC
• Pain Management ASC LLC
• Palmetto Ear Nose Throat PA
• Palmetto Eye Specialists-Optometrists
• John E Parker, M.D
• Pavillion Imaging
• Pavillion Imaging Center LLC

• Family Medicine Physician in Hilton Head, SC
• Providers in Hilton Head, 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 Nov 30, 2023; 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.