NPIMap

Organization Active NPI

Palmetto Health

  • Family Medicine Physician
  • Liberty, SC
National Provider Identifier
1124279872
Registry record updated Nov 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PALMETTO HEALTH
Practice address
300 W. Front St
Liberty, SC 29657-1012
Phone
(864) 843-5605
Fax
(864) 843-0096
NPI assigned
Sep 30, 2008
Organization subpart
Yes
Parent organization
PALMETTO HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 24, 2008

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

Authorized official

Name
Ms. Beverly Merry
Title
Office Manager
Phone
(864) 843-5605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

300 W. Front St
Liberty, SC 29657-1012

Mailing address

300 W. Front St
Liberty, SC 29657-1012
Phone (864) 843-5605

Other names 1

  • Liberty Family Care Doing business as

National Provider Directory

National Provider Directory
Part of
Markowitz and Associates

Practitioners & affiliated clinicians

Practitioners 3

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": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1124279872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W. FRONT ST",
            "city": "LIBERTY",
            "state": "SC",
            "postal_code": "296571012",
            "telephone_number": "864-843-5605",
            "fax_number": "864-843-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W. FRONT ST",
            "city": "LIBERTY",
            "state": "SC",
            "postal_code": "296571012",
            "telephone_number": "864-843-5605",
            "fax_number": "864-843-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PALMETTO HEALTH",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "MERRY",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "864-843-5605",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Liberty, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.