Palmetto Community Group of NC, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PALMETTO COMMUNITY GROUP OF NC, LLC

Practice address

16101 Wrights Ferry Rd
Charlotte, NC 28278-7635

Phone

(803) 546-0313

NPI assigned

Jan 17, 2023

Organization subpart

No

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

Authorized official

Name

Natasha BranonNPI 1447368188

Title

Owner

Phone

(803) 546-0313

Specialties & licenses 3

Addresses

Practitioners 1

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

• Natasha Rena' Branon, LPC

  • Community/Behavioral Health Agency
  • Columbia, SC
  • NPI 1447368188
  NPD Authorized official

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1194430967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 NAUTIQUE CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297334",
            "telephone_number": "803-546-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16101 WRIGHTS FERRY RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282787635",
            "telephone_number": "803-546-0313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 Nautique Cir",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292297334",
            "country_code": "US",
            "telephone_number": "803-546-0313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PALMETTO COMMUNITY GROUP OF NC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "BRANON",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-546-0313"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison G Palmer
• Quentin Palmer
• Reaunna Ladaya Palmer
• Scott Mikael Palmer, FNP
• Scott P Palmer, MD
• Palmetto Oxygen LLC
• Palmetto Pediatrics
• Palmetto Youth and Family Services
• Katherine Smith Palmgren, PMHNP-BC
• Emily Teague Palmieri, LPC, NCC, M.S., EDS

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.