Active NPI
Palmetto Primary Care Physicians, LLC
- Family Medicine Physician
- Summerville, SC
National Provider Identifier
1275201428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PALMETTO PRIMARY CARE PHYSICIANS, LLC
- Practice address
- 133 E 1St North St Ste 5
Summerville, SC 29483-6873 - Phone
- (843) 873-1592
- Fax
- (843) 507-8284
- NPI assigned
- Sep 2, 2021
- 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
- Terry Cunningham
- Title
- Ceo
- Phone
- (843) 572-7727
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
133 E 1St North St Ste 5
Summerville, SC 29483-6873
Mailing address
PO Box 530062
Atlanta, GA 30353-0062
Phone (843) 873-1592
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PG0594 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031113000287 | SC | Part B Supplier - Clinic/Group Practice | 4880508068 |
Receives reassigned benefits from 345 practitioners This NPI is an additional NPI on the enrollment |
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 |
|---|---|---|---|
| 42D0251329 | Palmetto Primary Care Physicians-Azalea | Provider-performed microscopy | Jul 31, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- North Charleston, SC
- NPI 1245876598
-
- Family Nurse Practitioner
- Summerville, SC
- NPI 1174128938
-
- Family Nurse Practitioner
- Summerville, SC
- NPI 1881419877
-
- Physician Assistant
- Summerville, SC
- NPI 1790383719
-
- Medical Physician Assistant
- Mt Pleasant, SC
- NPI 1962946137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630540800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780012800000",
"number": "1275201428",
"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": "843-873-1592",
"fax_number": "843-507-8284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 E 1ST NORTH ST STE 5",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294836873",
"telephone_number": "843-873-1592",
"fax_number": "843-507-8284"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALMETTO PRIMARY CARE PHYSICIANS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-02",
"last_updated": "2026-05-29",
"certification_date": "2026-05-29",
"status": "A",
"authorized_official_last_name": "CUNNINGHAM",
"authorized_official_first_name": "TERRY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "843-572-7727"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PG0594",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Summerville, SC
- Palmetto Primary Care Physicians, LLC
- Palmetto Primary Care Physicians, LLC
- Palmetto Primary Care Physicians, LLC
- Palmetto Primary Care Physicians, LLC
- Palmetto Primary Care Physicians, LLC
- Palmetto Primary Care Physicians, LLC
- Palmetto Primary Care Physicians, LLC
- Palmetto Primary Care Physicians, LLC
- Palmetto Primary Care Physicians, LLC
- Palmetto Primary Care Physicians, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.