Palmetto Medical Care LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

PALMETTO MEDICAL CARE LLC

Practice address

1002 S Main St
Mullins, SC 29574-3920

Phone

(843) 245-0613

NPI assigned

Sep 22, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Kathy Thompkins, NURSE PRACTIONERNPI 1295921591

Title

Owner

Phone

(843) 245-0613

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Rural health clinic certification: CCN 423878

Legal name

PALMETTO MEDICAL CARE LLC

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Jul 21, 2011

Last certification

Feb 1, 2023

Ownership / control type

1B

Organization structure

LLCProprietary

Incorporated

Aug 12, 2010 in SC

Enrollment address

1002 S. Main Street
Mullins, SC 29574-3920

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Kathy J Thompkins, APRN

  • Family Nurse Practitioner
  • Mullins, SC
  • NPI 1295921591

  5% Or Greater Direct Ownership Interest

  CMS ownership

Practitioners 1

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

• Kathy J Thompkins, APRN

  • Family Nurse Practitioner
  • Mullins, SC
  • NPI 1295921591
  NPD Authorized official

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1194033381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 S MAIN ST",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295743920",
            "telephone_number": "843-245-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 S MAIN ST",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295743920",
            "telephone_number": "843-245-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "THOMPKINS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-245-0613",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NURSE PRACTIONER"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ovp Health Care, Inc.
• Mary Owens
• Deborah R Page, RN
• Jovan Paige
• Palmetto Home Medical Products, Inc.
• Alexandra Parker, RD, LD
• Patient Response Organization Inc
• Alicia Paul
• Pee Dee Anesthesia
• Pee Dee OBGYN Assoc., PA

• Rural Health Clinic/Center in Mullins, SC
• Providers in Mullins, SC by specialty
• Rural Health Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.