Palmetto Pediatric

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PALMETTO PEDIATRIC

Practice address

74 Polo Rd
Columbia, SC 29223-2806

Phone

(803) 788-6146

Fax

(803) 462-0312

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Nancy J Hart

Title

Practice Manager

Phone

(803) 788-6146

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457361669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 POLO RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292232806",
            "telephone_number": "803-788-6146",
            "fax_number": "803-462-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 POLO RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292232806",
            "telephone_number": "803-788-6146",
            "fax_number": "803-462-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO PEDIATRIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "803-788-6146",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0803",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palmetto Orthopaedic Clinic, PA
• Palmetto Oxygen LLC
• Palmetto Pain Management LLC
• Palmetto Pain Management, LLC
• Palmetto Ped Gastro and Nut
• Palmetto Pediatric Gastro and Nutrition
• Palmetto Pediatric Gastroenterology
• Palmetto Periodontics LLC
• Palmetto Podiatry Associates LLC
• Palmetto Primary Care Physicians, LLC

• Pediatrics Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.