Palmetto Health

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PALMETTO HEALTH

Doing business as

Palmetto Health Center

Practice address

201 W a Ave
Easley, SC 29640-2051

Phone

(864) 855-5104

Fax

(864) 859-9362

NPI assigned

Jun 18, 2006

Last updated

Nov 18, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

PALMETTO HEALTHAs reported in NPPES

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

Authorized official

Name

Kendall Durham

Title

Patient Finanacial Manager

Phone

(864) 855-5104

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Palmetto Health Center Doing business as

Part of

Northeast Family Practi

Locations

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1235174848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W A AVE",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296402051",
            "telephone_number": "864-855-5104",
            "fax_number": "864-859-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W A AVE",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296402051",
            "telephone_number": "864-855-5104",
            "fax_number": "864-859-9362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PALMETTO HEALTH",
        "enumeration_date": "2006-06-18",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "DURHAM",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_title_or_position": "PATIENT FINANACIAL MANAGER",
        "authorized_official_telephone_number": "864-855-5104"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4456",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palmetto Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keonna Palmer
• Palmett Health Baptist Easley
• Palmetto Health (Easley Family Practice & Internal Medicine)
• Palmetto Health (Medical Fragile Children's Program Easley)
• Palmetto Health (Pastoral Counseling Center of Easley)
• Palmetto Health (Medical Center of Easley)
• Palmetto Health (Easley Internal Medicine)
• Palmetto Health (Easley Orthopaedic Clinic, PA)
• Palmetto Health (Palmetto Health Hospitalist)
• Palmetto Health (Easley General Surgeons)

• Family Medicine Physician in Easley, SC
• Providers in Easley, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.