Palmetto Geriatrics, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

PALMETTO GERIATRICS, LLC

Practice address

1175 Sunset Blvd
West Columbia, SC 29169-6863

Phone

(803) 794-3669

Fax

(803) 794-3269

NPI assigned

Jun 3, 2006

Last updated

Aug 22, 2020By 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

Anthony Chase

Title

Managing Member

Phone

(803) 794-3669

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457399123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 SUNSET BLVD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291696863",
            "telephone_number": "803-794-3669",
            "fax_number": "803-794-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 SUNSET BLVD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291696863",
            "telephone_number": "803-794-3669",
            "fax_number": "803-794-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO GERIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHASE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "803-794-3669"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew L Palmer, PT, DPT, GCS
• Palmetto Behavioral Services LLC
• Palmetto Center for Change, LLC
• Palmetto Dermatology
• Palmetto Diagnostics, LLC
• Palmetto Health (Markowitz and Associates)
• Palmetto Health - University of South Carolina Medical Group
• Palmetto Health - University of South Carolina Medical Group
• Palmetto Infusion Services LLC (Palmetto Infusion Services)
• Palmetto Medical Products

• Nurse Practitioner in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Nurse Practitioner 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.