NPIMap

Organization Active NPI

PM Health Alliance, LLC

Doing business as Back 2 Health

  • Primary Care Nurse Practitioner
  • Goose Creek, SC
National Provider Identifier
1326590746
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
PM HEALTH ALLIANCE, LLC
Doing business as
Back 2 Health
Practice address
588 Old Mount Holly Rd
Goose Creek, SC 29445-2814
Phone
(843) 376-5595
Fax
(843) 797-7432
NPI assigned
Nov 2, 2016
Last updated
Apr 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Authorized official

Name
Adam Brandon HallNPI 1356673479
Title
Owner
Phone
(843) 376-5595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU
Primary Care Nurse Practitioner 363LP2300X NU Primary
Chiropractor 111N00000X NU
Physical Medicine & Rehabilitation Physician 208100000X NU
Surgery Physician 208600000X 10054 SC
Surgery Physician 208600000X NU
Pain Medicine Physician 208VP0000X NU
Physical Therapist 225100000X NU

Addresses

Primary practice location

588 Old Mount Holly Rd
Goose Creek, SC 29445-2814

Mailing address

588 Old Mount Holly Rd
Goose Creek, SC 29445-2814
Phone (843) 376-5595

Other names 1

  • Back 2 Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20171115000656 SC Part B Supplier - Clinic/Group Practice 0547526121 Receives reassigned benefits from 6 practitioners
Practice locations: Goose Creek, SC
O20191107001350 SC DME Supplier - Physician - General PracticeDME Supplier - Independently-Practicing Physical Therapist 0547526121 Practice locations: Goose Creek, SC

National Provider Directory

National Provider Directory

Locations

106 Gosling Way
Ste E
Summerville, SC 29486

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1326590746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 OLD MOUNT HOLLY RD",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294452814",
            "telephone_number": "843-376-5595",
            "fax_number": "843-797-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 OLD MOUNT HOLLY RD",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294452814",
            "telephone_number": "843-376-5595",
            "fax_number": "843-797-7432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PM HEALTH ALLIANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-02",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-376-5595"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "10054",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back 2 Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goose Creek, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.