NPIMap

Organization Active NPI

Physicians Health Solutions

Doing business as Palmetto Wellness Center

  • General Practice Physician
  • North Charleston, SC
National Provider Identifier
1336453083
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PHYSICIANS HEALTH SOLUTIONS
Doing business as
Palmetto Wellness Center
Practice address
283 Dorchester Manor Blvd
North Charleston, SC 29420-8108
Phone
(843) 552-8000
Fax
(842) 552-0093
NPI assigned
Aug 4, 2010
Last updated
Dec 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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

Authorized official

Name
Dr. Brian E Quattlebaum, D.C.NPI 1134141161
Title
Owner
Phone
(843) 552-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

283 Dorchester Manor Blvd
North Charleston, SC 29420-8108

Mailing address

283 Dorchester Manor Blvd
North Charleston, SC 29420-8108
Phone (843) 552-8000

Other names 1

  • Palmetto Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

302 Midland Pkwy
#A
Summerville, SC 29485
Phone (843) 552-8000

302A Midland Pkwy
Summerville, SC 29485
Phone (843) 552-8000

Practitioners & affiliated clinicians

Practitioners 4

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": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1336453083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 DORCHESTER MANOR BLVD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294208108",
            "telephone_number": "843-552-8000",
            "fax_number": "842-552-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 DORCHESTER MANOR BLVD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294208108",
            "telephone_number": "843-552-8000",
            "fax_number": "842-552-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS HEALTH SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-04",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "QUATTLEBAUM",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-552-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palmetto Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.