NPIMap

Organization Active NPI

Palmetto Primary Care Physicians, LLC

  • Family Medicine Physician
  • Summerville, SC
National Provider Identifier
1366123739
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PALMETTO PRIMARY CARE PHYSICIANS, LLC
Practice address
85 Springview LN Unit C
Summerville, SC 29485-8119
Phone
(843) 572-7727
NPI assigned
Jul 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

85 Springview LN Unit C
Summerville, SC 29485-8119

Mailing address

PO Box 530062
Atlanta, GA 30353-0062
Phone (843) 572-7727

Other identifiers 1

IdentifierTypeStateIssuer
PG1636MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031113000287 SC Part B Supplier - Clinic/Group Practice 4880508068 Receives reassigned benefits from 345 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Tax ID family
Palmetto Primary Care P35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

Locations

115 W Church St
Bonneau, SC 29431
Phone (843) 825-3404

1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404

165 Market St
Charleston, SC 29401
Phone (843) 823-1215

149 E Bay St
Charleston, SC 29401
Phone (843) 722-7074

710 Rabon Rd
Ste 202
Columbia, SC 29203
Phone (803) 419-6646

900 Island Park Dr
Ste 201
Daniel Island, SC 29492
Phone (843) 856-6402

7 S Alliance Dr
Ste 201A
Goose Creek, SC 29445
Phone (843) 553-4383

1254 Yeamans Hall Rd
Hanahan, SC 29410
Phone (843) 554-8312

4340 Ladson Rd
Ste B
Ladson, SC 29456
Phone (843) 376-5056

401 N Live Oak Dr
Ste B
Moncks Corner, SC 29461
Phone (843) 761-7884

401 N Live Oak Dr
Ste A
Moncks Corner, SC 29461
Phone (843) 761-2815

3801 W Montague Ave
North Charleston, SC 29418
Phone (843) 760-3830

87 Springview Ln
Unit A
Summerville, SC 29485
Phone (843) 851-0200

213 W 4th North St
Summerville, SC 29483
Phone (843) 873-0681

133 E 1st North St
Ste 5
Summerville, SC 29483
Phone (843) 821-2480

102 W 8th North St
Ste A
Summerville, SC 29483

416 Robertson Blvd
Ste B
Walterboro, SC 29488
Phone (843) 549-2411

Practitioners & affiliated clinicians

Practitioners 330

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 330

NPI Registry JSON

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778198400000",
    "number": "1366123739",
    "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": "843-572-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SPRINGVIEW LN UNIT C",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858119",
            "telephone_number": "843-572-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO PRIMARY CARE PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-28",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "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 SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PG1636",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.