Palmetto Primary Care Physicians, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PALMETTO PRIMARY CARE PHYSICIANS, LLC

Practice address

3930 Devine St
Columbia, SC 29205-2804

Phone

(803) 274-6272

Fax

(803) 973-6627

NPI assigned

Apr 16, 2019

Last updated

May 27, 2026By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Tax ID family

Palmetto Primary Care35 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.

• Palmetto Primary Care Physicians

  • Internal Medicine Physician
  • Irmo, SC
  • NPI 1568925071
  NPD tax ID
• Palmetto Primary Care Physicians, LLC

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1003114406
  NPD tax ID
• Palmetto Primary Care Physicians, LLC

  dba Palmetto Advanced Therapy Services LLC

  • Physical Therapy Clinic/Center
  • Murrells Inlet, SC
  • NPI 1043808132
  NPD tax ID
• Palmetto Primary Care Physicians, LLC

  • Family Medicine Physician
  • Orangeburg, SC
  • NPI 1053020669
  NPD tax ID
• Palmetto Primary Care Physicians, LLC

  dba PPCP Canterbury House

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1073234928
  NPD tax ID
• Palmetto Primary Care Physicians, LLC

  • Family Medicine Physician
  • Murrells Inlet, SC
  • NPI 1184190530
  NPD tax ID
• Palmetto Primary Care Physicians, LLC

  • Family Medicine Physician
  • Summerville, SC
  • NPI 1194281873
  NPD tax ID
• Palmetto Primary Care Physicians, LLC

  • Family Medicine Physician
  • Columbia, SC
  • NPI 1275177420
  NPD tax ID
• Palmetto Primary Care Physicians, LLC

  dba CSU Medical Clinic

  • Family Medicine Physician
  • N Charleston, SC
  • NPI 1275943953
  NPD tax ID
• Palmetto Primary Care Physicians, LLC

  dba Palmetto Advanced Therapy Services

  • Physical Therapy Clinic/Center
  • Summerville, SC
  • NPI 1306480702
  NPD tax ID
• Palmetto Primary Care Physicians, LLC

  • Family Medicine Physician
  • Pawley's Island, SC
  • NPI 1316410616
  NPD tax ID
• Palmetto Primary Care Physicians, LLC

  • Internal Medicine Physician
  • Columbia, SC
  • NPI 1326501834
  NPD tax ID

Locations

Practitioners 3

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.

• Kim Marie Ellis, NP-C

  • Family Nurse Practitioner
  • Aiken, SC
  • NPI 1952762528
  NPD
• Andrew Jonathan Fields, D.C., APRN

  • Family Nurse Practitioner
  • Columbia, SC
  • NPI 1295784999
  NPD
• James Michael Fields, D.C., NP-C

  • Family Nurse Practitioner
  • Columbia, SC
  • NPI 1871542571
  NPD

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1417510421",
    "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": "843-994-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 DEVINE ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292052804",
            "telephone_number": "803-274-6272",
            "fax_number": "803-973-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO PRIMARY CARE PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-16",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "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": "GP9030",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palmetto Pediatric Gastroenterology
• Palmetto Periodontics LLC
• Palmetto Podiatry Associates LLC
• Palmetto Primary Care Physicians, LLC
• Palmetto Primary Care Physicians, LLC
• Palmetto Primary Care Physicians, LLC
• Palmetto Primary Care Physicians, LLC
• Palmetto Project Counseling Group
• Palmetto Psychiatry Consultants, LLC
• Palmetto Ride Care

• Family Medicine Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.