Organization Active NPI

Palmetto Tri-County Internal Medicine, PA

  • Internal Medicine Physician
  • Lancaster, SC
National Provider Identifier
1083683288
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PALMETTO TRI-COUNTY INTERNAL MEDICINE, PA
Practice address
201 W Meeting St
Lancaster, SC 29720-2380
Phone
(803) 286-4666
Fax
(803) 283-1951
NPI assigned
Mar 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Kathy G Sistare, RN
Title
Practice Manager
Phone
(803) 286-4705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

201 W Meeting St
Lancaster, SC 29720-2380

Mailing address

201 W Meeting St
Lancaster, SC 29720-2380
Phone (803) 286-4666

National Provider Directory

National Provider Directory

Locations

9789 Charlotte Hwy
Ste 1400
Fort Mill, SC 29707
Phone (803) 286-4666

201 W Meeting St
Ste A
Lancaster, SC 29720
Phone (803) 286-4666

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083683288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W MEETING ST",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202380",
            "telephone_number": "803-286-4666",
            "fax_number": "803-283-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W MEETING ST",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202380",
            "telephone_number": "803-286-4666",
            "fax_number": "803-283-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO TRI-COUNTY INTERNAL MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SISTARE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "803-286-4705",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.