Palmetto Primary Care Physicians, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25477 Issued in SC

Legal business name

PALMETTO PRIMARY CARE PHYSICIANS, LLC

Practice address

809 N Cedar St
Summerville, SC 29483-6605

Phone

(843) 871-9440

Fax

(843) 871-5932

NPI assigned

May 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Brantley Arnau, MDNPI 1477510022

Title

President

Phone

(843) 572-7727

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 110

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.

• Thomas Brantley Arnau, M.D.

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1477510022
  Authorized official Same address or phone
• Allison D Hamm, APRN

  • Family Nurse Practitioner
  • Summerville, SC
  • NPI 1902264062
  NPD
• Brooke Houshiar, DNP, FNP-C

  • Family Nurse Practitioner
  • Charleston, SC
  • NPI 1295469765
  NPD
• Megan K. Huff, APRN, FNP

  • Family Nurse Practitioner
  • Charleston, SC
  • NPI 1619405172
  NPD
• Candice Jones, APRN

  • Family Nurse Practitioner
  • Summerville, SC
  • NPI 1174983258
  NPD
• Lauren N. Jones, APRN

  • Family Nurse Practitioner
  • Summerville, SC
  • NPI 1689239915
  NPD
• Joseph Wolfgang Mathews, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Summerville, SC
  • NPI 1811123300
  NPD
• Cayce Lyn Parker, FNP

  • Family Nurse Practitioner
  • Charleston, SC
  • NPI 1962187278
  NPD
• Ashley Karen Ryan, FNP

  • Nurse Practitioner
  • Summerville, SC
  • NPI 1851082606
  NPD
• Luis R Vega, M. D.

  • Family Medicine Physician
  • Hampton, SC
  • NPI 1033119854
  NPD
• Rachael Zealy, PA-C

  • Physician Assistant
  • Charleston, SC
  • NPI 1508388968
  NPD
• Clay J. Anderson, MD

  • Family Medicine Physician
  • Saint Stephen, SC
  • NPI 1386268860
  NPD (past)

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1265690382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530062",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303530062",
            "telephone_number": "843-695-6071",
            "fax_number": "843-569-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 N CEDAR ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836605",
            "telephone_number": "843-871-9440",
            "fax_number": "843-871-5932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO PRIMARY CARE PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "ARNAU",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "BRANTLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-572-7727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "25477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4892",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palmetto Orthotic, Prosthetic and Pedorthic Center LLC
• Palmetto Primary Care Physicians, LLC (Palmetto - Endocrinology)
• Palmetto Primary Care Physicians, LLC
• Palmetto Primary Care Physicians, LLC (Summerville Family Practice Associates)
• Palmetto Primary Care Physicians, LLC
• Palmetto Primary Care Physicians, LLC
• Palmetto Primary Care Physicians, LLC (Palmetto Advanced Therapy Services)
• Palmetto Primary Care Physicians, LLC (Lomax & Jodan ENT)
• Palmetto Primary Care Physicians, LLC
• Palmetto Primary Care Physicians, LLC

• Family Medicine Physician in Summerville, SC
• Providers in Summerville, 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 Jun 1, 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.