NPIMap

Organization Active NPI

The Regional Medical Center of Orangeburg and Calhoun Counties

Doing business as RMC Palmetto Urology

  • Urology Physician
  • Orangeburg, SC
National Provider Identifier
1518455294
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES
Doing business as
RMC Palmetto Urology
Practice address
1175 Cook Rd Ste 310
Orangeburg, SC 29118-8247
Phone
(803) 395-3625
Fax
(803) 534-5712
NPI assigned
Apr 27, 2018
Last updated
Mar 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Authorized official

Name
Christal Leann Fulmer
Title
Revenue Cycle Manager
Phone
(803) 395-4248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X Primary

Addresses

Primary practice location

1175 Cook Rd Ste 310
Orangeburg, SC 29118-8247

Mailing address

PO Box 1245
Orangeburg, SC 29116-1245
Phone (803) 395-4497

Other identifiers 1

IdentifierTypeStateIssuer
7389OtherSCPTAN

Other names 1

  • RMC Palmetto Urology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040202001087 SC Part B Supplier - Clinic/Group Practice 8527970771 Receives reassigned benefits from 42 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Orangeburg, SC; St Matthews, SC

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1524787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1518455294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1245",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291161245",
            "telephone_number": "803-395-4497",
            "fax_number": "803-395-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 COOK RD STE 310",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291188247",
            "telephone_number": "803-395-3625",
            "fax_number": "803-534-5712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-27",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "FULMER",
        "authorized_official_first_name": "CHRISTAL",
        "authorized_official_middle_name": "LEANN",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "803-395-4248"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "7389",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RMC Palmetto Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orangeburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.