Organization Active NPI

Palmetto Chiromed, Inc.

  • Chiropractor
  • Florence, SC
National Provider Identifier
1518238203
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PALMETTO CHIROMED, INC.
Practice address
491 W Cheves St Ste a
Florence, SC 29501-4407
Phone
(843) 662-8000
Fax
(843) 664-0994
NPI assigned
Jan 26, 2012
Last updated
Aug 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Authorized official

Name
Michael G Wenner
Title
Owner
Phone
(843) 662-8000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary
Family Medicine Physician 207Q00000X

Addresses

Primary practice location

491 W Cheves St Ste a
Florence, SC 29501-4407

Mailing address

491 W Cheves St Ste a
Florence, SC 29501-4407
Phone (843) 662-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120627000150 SC Part B Supplier - Clinic/Group Practice 0446415343 Receives reassigned benefits from 2 practitioners
Practice locations: Florence, SC

National Provider Directory

National Provider Directory

Locations

491 W Cheves St
Florence, SC 29501
Phone (843) 536-1180

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1518238203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 W CHEVES ST STE A",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014407",
            "telephone_number": "843-662-8000",
            "fax_number": "843-664-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 W CHEVES ST STE A",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014407",
            "telephone_number": "843-662-8000",
            "fax_number": "843-664-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO CHIROMED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-26",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "WENNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-662-8000"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.

Verify at the official NPI Registry.