Organization Active NPI

Palmetto Medicine, LLC

  • Internal Medicine Physician
  • Aiken, SC
National Provider Identifier
1548725781
Registry record updated Feb 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PALMETTO MEDICINE, LLC
Practice address
148 Waterloo St SW Ste 3
Aiken, SC 29801-3766
Phone
(803) 335-4362
NPI assigned
Feb 1, 2019
Last updated
Feb 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2019

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

Authorized official

Name
Dr. Michael Harold Emmer II, MD
Title
Owner
Phone
(803) 518-5781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

148 Waterloo St SW Ste 3
Aiken, SC 29801-3766

Mailing address

148 Waterloo St SW Ste 3
Aiken, SC 29801-3766
Phone (803) 335-4362

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190401001335 SC Part B Supplier - Clinic/Group Practice 2769723709 Receives reassigned benefits from 1 practitioner
Practice locations: Aiken, SC

National Provider Directory

National Provider Directory

Locations

148 Waterloo St SW
Ste 3
Aiken, SC 29801
Phone (803) 335-4362

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548979200000",
    "number": "1548725781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 WATERLOO ST SW STE 3",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013766",
            "telephone_number": "803-335-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 WATERLOO ST SW STE 3",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013766",
            "telephone_number": "803-335-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-01",
        "last_updated": "2019-02-01",
        "status": "A",
        "authorized_official_last_name": "EMMER II",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-518-5781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; 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.