Organization Active NPI

Palmetto Advanced Mobile Wound Care PC

  • Family Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1407709595
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
PALMETTO ADVANCED MOBILE WOUND CARE PC
Practice address
1122 Lady St
FL 3
Columbia, SC 29201-3491
Phone
(864) 934-8326
NPI assigned
Feb 18, 2026
Last updated
Mar 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Authorized official

Name
Jennifer Rice, FNPNPI 1063690907
Title
Owner
Phone
(864) 934-8326

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1122 Lady St
FL 3
Columbia, SC 29201-3491

Mailing address

1122 Lady St FL 3
Columbia, SC 29201-3491
Phone (864) 934-8326

National Provider Directory

National Provider Directory

Locations

1122 Lady St
Fl 3
Columbia, SC 29201
Phone (803) 563-8164

Practitioners & affiliated clinicians

Practitioners 1

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": "1771372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1407709595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 LADY ST FL 3",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013491",
            "telephone_number": "864-934-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 LADY ST",
            "address_2": "FL 3",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013491",
            "telephone_number": "864-934-8326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO ADVANCED MOBILE WOUND CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-18",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-934-8326",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.