Active NPI
Palmetto Medical Clinic LLC
- Family Nurse Practitioner
- Myrtle Beach, SC
National Provider Identifier
1124611520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- PALMETTO MEDICAL CLINIC LLC
- Practice address
- 5126 Morning Frost PL
Myrtle Beach, SC 29579-3576 - Phone
- (843) 220-0551
- NPI assigned
- Feb 16, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Emily Neal Deleon, APRN
- Title
- Family Nurse Practitioner
- Phone
- (843) 220-0551
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
5126 Morning Frost PL
Myrtle Beach, SC 29579-3576
Mailing address
5126 Morning Frost PL
Myrtle Beach, SC 29579-3576
Phone (843) 220-0551
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1613433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737936000000",
"number": "1124611520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5126 MORNING FROST PL",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295793576",
"telephone_number": "843-220-0551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5126 MORNING FROST PL",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295793576",
"telephone_number": "843-220-0551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALMETTO MEDICAL CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-16",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A",
"authorized_official_last_name": "DELEON",
"authorized_official_first_name": "EMILY",
"authorized_official_middle_name": "NEAL",
"authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
"authorized_official_telephone_number": "843-220-0551",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.