Active NPI
Palmetto Primary Care Physicians, LLC
- Family Medicine Physician
- Mount Pleasant, SC
National Provider Identifier
1487058244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PALMETTO PRIMARY CARE PHYSICIANS, LLC
- Practice address
- 1280 Hospital Dr
Ste 302
Mt Pleasant, SC 29464-1900 - Phone
- (843) 572-7727
- Fax
- (843) 569-5881
- NPI assigned
- Oct 22, 2014
- Last updated
- Jun 1, 2021
- 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
- Dr. Thomas Brantley Arnau, MD
- Title
- President
- Phone
- (843) 572-7727
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 Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1280 Hospital Dr
Ste 302
Mt Pleasant, SC 29464-1900
Mailing address
PO Box 530062
Atlanta, GA 30353-0062
Phone (843) 695-6071
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031113000287 | SC | Part B Supplier - Clinic/Group Practice | 4880508068 |
Receives reassigned benefits from 345 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryPractitioners & 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 Medicine Physician
- Charleston, SC
- NPI 1477510022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1622505600000",
"number": "1487058244",
"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": "843-695-6071",
"fax_number": "843-569-5881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1280 HOSPITAL DR",
"address_2": "STE 302",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294641900",
"telephone_number": "843-572-7727",
"fax_number": "843-569-5881"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALMETTO PRIMARY CARE PHYSICIANS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-22",
"last_updated": "2021-06-01",
"certification_date": "2021-06-01",
"status": "A",
"authorized_official_last_name": "ARNAU",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "BRANTLEY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "843-572-7727",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, SC
- Palmetto Mt. Pleasant Behavioral Health LLC (Sea Grove Recovery)
- Palmetto Natural Health LLC (Bruce Kesten, DC)
- Palmetto Oculoplastics
- Palmetto Ortho of Chas, PA
- Palmetto Podiatry P.a.
- Palmetto Primary Care Physicians, LLC
- Palmetto Primary Care Physicians, LLC
- Palmetto Specialty Pharm LLC (Palmetto Pharm)
- Palmetto Specialty Pharm LLC (Palmetto Pharm)
- Palmetto Specialty Pharm LLC (Palmetto Pharm)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.