Active NPI
Palmetto Primary Care Physicians, LLC
- Family Medicine Physician
- Goose Creek, SC
National Provider Identifier
1538634183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PALMETTO PRIMARY CARE PHYSICIANS, LLC
- Practice address
- 119 Springhall Dr
Goose Creek, SC 29445-5368 - Phone
- (843) 266-2520
- Fax
- (843) 553-4436
- NPI assigned
- Oct 10, 2018
- Last updated
- May 6, 2026
- 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
- Terry Cunningham
- Title
- Ceo
- Phone
- (843) 572-7727
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
119 Springhall Dr
Goose Creek, SC 29445-5368
Mailing address
PO Box 530062
Atlanta, GA 30353-0062
Phone (843) 572-7727
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP8713 | Medicaid | SC |
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 DirectoryLocations
110 Springhall Dr
Ste A
Goose Creek, SC 29445
Phone (843) 973-8503
119 Springhall Dr
Goose Creek, SC 29445
Phone (843) 266-2520
2550 Elms Center Rd
North Charleston, SC 29406
Phone (843) 302-8840
201 Sigma Dr
Ste 200
Summerville, SC 29486
Practitioners & affiliated clinicians
Practitioners 6
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 Nurse Practitioner
- Summerville, SC
- NPI 1528266459
-
- Family Nurse Practitioner
- Ladson, SC
- NPI 1457866899
-
- Family Nurse Practitioner
- Goose Creek, SC
- NPI 1801334412
-
- Family Nurse Practitioner
- Goose Creek, SC
- NPI 1609696582
-
- Family Nurse Practitioner
- Goose Creek, SC
- NPI 1417849886
-
- Family Nurse Practitioner
- Tyler, TX
- NPI 1194110924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778025600000",
"number": "1538634183",
"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": "843-572-7727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 SPRINGHALL DR",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "294455368",
"telephone_number": "843-266-2520",
"fax_number": "843-553-4436"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALMETTO PRIMARY CARE PHYSICIANS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-10",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A",
"authorized_official_last_name": "CUNNINGHAM",
"authorized_official_first_name": "TERRY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "843-572-7727"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP8713",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Goose Creek, SC
- Palmetto Orthodontics & TMJ, PA (Cox Orthodontics)
- Palmetto Primary Care Physicians, LLC
- Palmetto Primary Care Physicians, LLC
- Palmetto Primary Care Physicians, LLC
- Palmetto Primary Care Physicians, LLC (Westview Family Medicine)
- Palmetto Primary Care Physicians, LLC (Lowcountry Sleep Medicine)
- Palmetto Primary Care Physicians, LLC
- Palmetto Primary Care Physicians, LLC
- Lauren Parlato, LCSW
- Haley Pasquale, LPC-A
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.