Organization Active NPI

Palmetto Cardiology Associates, PA

  • Specialist
  • Columbia, SC
National Provider Identifier
1114976008
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PALMETTO CARDIOLOGY ASSOCIATES, PA
Practice address
1655 Bernardin Ave
Suite 300
Columbia, SC 29204-2039
Phone
(803) 252-6644
Fax
(803) 365-0606
NPI assigned
May 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Roslyn Jeffcoat Bush
Title
Practice Administrator
Phone
(803) 252-6644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1655 Bernardin Ave
Suite 300
Columbia, SC 29204-2039

Mailing address

1655 Bernardin Ave
Suite 300
Columbia, SC 29204-2039
Phone (803) 252-6644

National Provider Directory

National Provider Directory
Tax ID family
Springfield Clinic Nucl55 organizations share this tax ID, including this one

Locations

1655 Brabham Ave
Ste 300
Columbia, SC 29204
Phone (803) 252-6644

1301 Taylor St
Ste 10A
Columbia, SC 29201
Phone (803) 252-6644

2611 Forest Dr
Ste 230
Columbia, SC 29204
Phone (803) 252-6644

110 N Morris St
Ste B
Lake City, SC 29560

322 Mercy St
Lake City, SC 29560
Phone (843) 394-0678

Practitioners & affiliated clinicians

Practitioners 4

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": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1114976008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 BERNARDIN AVE",
            "address_2": "SUITE 300",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042039",
            "telephone_number": "803-252-6644",
            "fax_number": "803-365-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 BERNARDIN AVE",
            "address_2": "SUITE 300",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042039",
            "telephone_number": "803-252-6644",
            "fax_number": "803-365-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO CARDIOLOGY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "ROSLYN",
        "authorized_official_middle_name": "JEFFCOAT",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "803-252-6644"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.