Individual provider Active NPI

Robert M. Pallay, MD

  • Family Medicine Physician
  • West Columbia, SC
National Provider Identifier
1275552143
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
92097 Issued in SC
Practice address
145 Sunset CT Ste 100
West Columbia, SC 29169-2429
Phone
(803) 739-3550
Fax
(803) 739-3546
NPI assigned
Jul 19, 2006
Last updated
Aug 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 060137 GA
Family Medicine Physician 207Q00000X MA32105 NJ
Family Medicine Physician 207Q00000X 92097 SC Primary

Addresses

Primary practice location

145 Sunset CT Ste 100
West Columbia, SC 29169-2429

Mailing address

PO Box 6069
West Columbia, SC 29171-6069
Phone (803) 739-3550

Other practice location 1

1107 E 66th St
Savannah, GA 31404-5701
Phone (912) 350-8404

Other identifiers 6

IdentifierTypeStateIssuer
024696427AMedicaidGA
G60137MedicaidSC
01077001OtherGAAMERIGROUP
52206288-001OtherGABCBS GA
582162071-014OtherHUMANA/TRICARE SOUTH
P00441766OtherGARR MEDICARE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rpallay49733@epicsav.hcadirect.net
Direct Messaging Address rpallay175044@direct.lexmed.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC, MS3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20080115000735 GA Practitioner - Family Practice 8123083664 Reassigns benefits to 2 organizations
I20240605000043 SC Practitioner - Family Practice 8123083664 Reassigns benefits to 1 organization
I20251203001071 MS Practitioner - Family Practice 8123083664 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Northwestern University Feinberg Medical School, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boa Vida Hospital of Aberdeen Ms LLCGroup PAC ID 0244505840, shared by 26 NPIs, 70 clinicians

Practice addresses (Care Compare)

502 S Chestnut St
Aberdeen, MS 39730-3337
Phone (662) 319-8844

Merit-based Incentive Payment System (MIPS)

Final score
84.09 of 100Reported as group
Quality
68.87
Promoting interoperability
100
Improvement activities
40
Cost
78.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
060137GAMDFamily Medicine Physician
MA32105NJMDFamily Medicine Physician
92097SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MPPG, Inc. Family Medicine CurrentSince Oct 4, 2007 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms LLC CurrentSince Nov 1, 2025 Accepting new patients
Dodge County Hospital Authority Family Medicine CurrentSince Feb 1, 2024 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC CurrentSince Dec 20, 2025 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms LLC CurrentSince Nov 1, 2025 Accepting new patients
Lexington Health Inc CurrentSince Jun 1, 2024 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC Current Accepting new patients
Lexington Health Inc Family Medicine Current Accepting new patients
Dodge County Hospital Authority CurrentSince Feb 1, 2024 Accepting new patients
Lexington Health Inc CurrentSince Jun 1, 2024 Accepting new patients
Memorial Physicians Group Inc Family Medicine Past Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC Past Accepting new patients
Snyder Randhawa, LLC Family Medicine Past Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC Past Accepting new patients
Lexington Health Inc Past Accepting new patients
Belle Mead Physical Therapy Past Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC Past Accepting new patients
Rutgers Health-PCC Monument Square Family Medicine Past Accepting new patients

Locations

901 Griffin Ave
Eastman, GA 31023
Phone (478) 374-4000

1107 E 66th St
Savannah, GA 31404
Phone (912) 350-8404

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

4731 Waters Ave
Savannah, GA 31404
Phone (912) 350-4905

400 S Chestnut St
Aberdeen, MS 39730
Phone (662) 369-2455

2200 5th St N
Columbus, MS 39705
Phone (662) 369-2455

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

145 Sunset Ct
Ste 100
West Columbia, SC 29169
Phone (803) 739-3491

145 Sunset Ct
Ste 100201
West Columbia, SC 29169
Phone (803) 739-3550

Interoperability endpoints

  • Direct secure messaging: rpallay49733@epicsav.hcadirect.net

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1275552143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6069",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291716069",
            "telephone_number": "803-739-3550",
            "fax_number": "803-739-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 SUNSET CT STE 100",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291692429",
            "telephone_number": "803-739-3550",
            "fax_number": "803-739-3546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1107 E 66th St",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314045701",
            "country_code": "US",
            "telephone_number": "912-350-8404",
            "fax_number": "912-350-8067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALLAY",
        "first_name": "ROBERT",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "060137",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA32105",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "92097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024696427A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G60137",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01077001",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GA",
            "identifier": "52206288-001",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA/TRICARE SOUTH",
            "identifier": "582162071-014",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00441766",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rpallay49733@epicsav.hcadirect.net",
            "affiliation": "N",
            "address_1": "1107 E 66th St",
            "city": "Savannah",
            "state": "GA",
            "country_code": "US",
            "postal_code": "314045701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rpallay175044@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "145 Sunset Ct Ste 100",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291692429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.