Palmetto Health

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PALMETTO HEALTH

Doing business as

Easley Internal Medicine

Practice address

101 Richard St
Easley, SC 29640-1440

Phone

(864) 859-4480

Fax

(864) 859-3750

NPI assigned

Jul 6, 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

Beth Henderson

Title

Office Manager

Phone

(864) 859-4480

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Easley Internal Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Prisma Health-Midlands

  dba Prisma Health Emergency Physician Richland

  • Emergency Medicine Physician
  • Columbia, SC
  • NPI 1467400846

  O20040512000745

  Same enrollment
• Prisma Health-Midlands

  dba Prisma Health Behavioral Care

  • Behavioral Neurology & Neuropsychiatry Physician
  • Columbia, SC
  • NPI 1487078663

  O20040512000745

  Same enrollment
• Prisma Health-Midlands

  dba Prisma Health Emergency Physicians Baptist

  • Emergency Medicine Physician
  • Coulmbia, SC
  • NPI 1922051143

  O20040512000745

  Same enrollment

Part of

Ridge Pediatric Adolesc

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1275564007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RICHARD ST",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296401440",
            "telephone_number": "864-859-4480",
            "fax_number": "864-859-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RICHARD ST",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296401440",
            "telephone_number": "864-859-4480",
            "fax_number": "864-859-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PALMETTO HEALTH",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "864-859-4480"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3686",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Easley Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Palmetto Health (Easley Family Practice & Internal Medicine)
• Palmetto Health (Medical Fragile Children's Program Easley)
• Palmetto Health (Pastoral Counseling Center of Easley)
• Palmetto Health (Palmetto Health Center)
• Palmetto Health (Medical Center of Easley)
• Palmetto Health (Easley Orthopaedic Clinic, PA)
• Palmetto Health (Palmetto Health Hospitalist)
• Palmetto Health (Easley General Surgeons)
• Palmetto Health (Medical Center of Easley)
• Palmetto Health (Easley OB-GYN Associates)

• Internal Medicine Physician in Easley, SC
• Providers in Easley, SC by specialty
• Internal 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.
• 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.