Organization Active NPI

Palmetto Medical Clinic LLC

  • Family Nurse Practitioner
  • Myrtle Beach, SC
National Provider Identifier
1124611520
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Emily Neal Deleon, APRNNPI 1366077430
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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & 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.

Verify at the official NPI Registry.