Palmetto Kidney and Hypertension Associates LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

PALMETTO KIDNEY AND HYPERTENSION ASSOCIATES LLC

Practice address

2601 Laurel St Ste 230
Columbia, SC 29204-2034

Phone

(803) 722-4001

Fax

(803) 205-4008

NPI assigned

Apr 30, 2021

Last updated

Apr 30, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen Osaguona, MDNPI 1346387388

Title

Sole Member

Phone

(803) 722-4001

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen Osaguona, M.D.

  • Nephrology Physician
  • Columbia, SC
  • NPI 1346387388
  Medicare reassignment Care Compare group NPD Authorized official
• Kerrera Charnay Tindal, APRN

  • Nurse Practitioner
  • Columbia, SC
  • NPI 1538779178
  Medicare reassignment Care Compare group NPD
• Cayla Mae Fleshman, PA

  • Physician Assistant
  • West Columbia, SC
  • NPI 1336715705
  NPD (past)
• Erin Weeks Morgan, FNP-C

  • Family Nurse Practitioner
  • Columbia, SC
  • NPI 1083469332
  NPD (past)

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1194308882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 LAUREL ST STE 230",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042034",
            "telephone_number": "803-722-4001",
            "fax_number": "803-205-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 LAUREL ST STE 230",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042034",
            "telephone_number": "803-722-4001",
            "fax_number": "803-205-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO KIDNEY AND HYPERTENSION ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "OSAGUONA",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "803-722-4001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palmetto Hyperbaric Solutions
• Palmetto Imaging, Inc (Palmetto Imaging Stadium)
• Palmetto Imaging, Inc
• Palmetto Imaging, LLC (Palmetto Imaging Downtown)
• Palmetto Internal Medicine PA
• Palmetto Kids Speech Therapy, LLC
• Palmetto Labs Now, LLC
• Palmetto Medical Practice, PC
• Palmetto Medical Supplies, LLC
• Palmetto Mental Health Counseling, LLC

• Nephrology Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Nephrology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.