Organization Active NPI

Palmetto Adult Medicine LLC

  • Internal Medicine Physician
  • Sumter, SC
National Provider Identifier
1366488116
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PALMETTO ADULT MEDICINE LLC
Practice address
1295 Wilson Hall Rd
Sumter, SC 29150-1804
Phone
(803) 905-6800
Fax
(803) 905-6810
NPI assigned
Jun 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Authorized official

Name
Mrs. Kimberly E Posey
Title
Insurance Manager
Phone
(803) 905-6800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1295 Wilson Hall Rd
Sumter, SC 29150-1804

Mailing address

1295 Wilson Hall Rd
Sumter, SC 29150-1804
Phone (803) 905-6800

Other identifiers 1

IdentifierTypeStateIssuer
GP2526MedicaidSC

National Provider Directory

National Provider Directory

Locations

1295 Wilson Hall Rd
Sumter, SC 29150
Phone (803) 905-6800

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1366488116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 WILSON HALL RD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501804",
            "telephone_number": "803-905-6800",
            "fax_number": "803-905-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 WILSON HALL RD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501804",
            "telephone_number": "803-905-6800",
            "fax_number": "803-905-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO ADULT MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "POSEY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "803-905-6800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2526",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.