Active NPI
Palmetto Advanced Mobile Wound Care PC
- Family Nurse Practitioner
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Rice, FNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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 DirectoryLocations
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.
-
- Family Nurse Practitioner
- Columbia, SC
- NPI 1063690907
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.