Active NPI
Palmetto Family Medicine and Senior Care, LLC
- Family Medicine Physician
- Hartsville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 23144
- Legal business name
- PALMETTO FAMILY MEDICINE AND SENIOR CARE, LLC
- Practice address
- 420 W Carolina Ave
Hartsville, SC 29550-4524 - Phone
- (843) 917-4977
- Fax
- (888) 854-0390
- NPI assigned
- Dec 1, 2014
- 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
- Dr. John C Ropp III, MD
- Title
- Owner
- Phone
- (843) 917-4977
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 Medicine Physician | 207Q00000X | 23144 | SC | Primary |
Addresses
Primary practice location
420 W Carolina Ave
Hartsville, SC 29550-4524
Mailing address
420 W Carolina Ave
Hartsville, SC 29550-4524
Phone (843) 917-4977
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 231449 | Medicaid | SC | |
| 231966 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080402000948 | SC | Part B Supplier - Clinic/Group Practice | 2961589817 |
Receives reassigned benefits from 3 practitioners Practice locations: Hartsville, SC |
| O20120110000683 | SC | Part B Supplier - Clinic/Group Practice | 0840466017 |
Receives reassigned benefits from 69 practitioners 8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Aiken, SC; Summerville, SC; North Charleston, SC; Moncks Corner, SC; Lancaster, SC; Indian Land, SC; Goose Creek, SC; Edisto Island, SC… |
Other NPIs on the same Medicare enrollment 6
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Internal Medicine Physician
- Charleston, SC
- NPI 1316218670
O20120110000683
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2016141 | Palmetto Family Medicine and Senior Care | Certificate of waiver | Dec 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
309 E Main St
Bennettsville, SC 29512
Phone (843) 479-5979
2779 Highway 15 N
Bishopville, SC 29010
Phone (803) 428-2222
100 Ashland Park Ln
Ste K
Columbia, SC 29210
Phone (803) 772-8505
300 S Dargan St
Florence, SC 29506
Phone (843) 777-3020
217 Dozier Blvd
Ste 200
Florence, SC 29501
Phone (843) 656-0820
2175 Ashley Phosphate Rd
Ste D
North Charleston, SC 29406
Phone (843) 764-0770
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Hartsville, SC
- NPI 1922037191
Family Medicine, SC
-
- Internal Medicine Physician
- Charleston, SC
- NPI 1881660918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1519603200000",
"number": "1194122598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 W CAROLINA AVE",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295504524",
"telephone_number": "843-917-4977",
"fax_number": "843-639-8145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 W CAROLINA AVE",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295504524",
"telephone_number": "843-917-4977",
"fax_number": "888-854-0390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALMETTO FAMILY MEDICINE AND SENIOR CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-01",
"last_updated": "2018-02-26",
"status": "A",
"authorized_official_last_name": "ROPP",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "843-917-4977",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "SC",
"license": "23144",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "231449",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "231966",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hartsville, SC
- Kristin Oneal
- Zsolt Peter Ori, MD
- Joni Sue Ovanna Budhram, M.D.
- Pal Metto Prosthetics and Orthotics, Inc.
- Palmetto Counseling of Hartsville LLC
- Palmetto Health - University of South Carolina Medical Group
- Palmetto Pathology
- Palmetto Wellness and Injury Center of Hartsville SC PA
- Nina Panvelker, DMD
- Jonathan Parrott
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.