Palmetto Family Practice, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PALMETTO FAMILY PRACTICE, LLC

Practice address

115 N Sumter St
Suite 315
Sumter, SC 29150-4972

Phone

(803) 934-0810

Fax

(803) 934-0809

NPI assigned

Jan 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John Russell Fleming Jr., MD

Title

Physician Partner

Phone

(803) 934-0810

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1558340786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N SUMTER ST",
            "address_2": "SUITE 315",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504972",
            "telephone_number": "803-934-0810",
            "fax_number": "803-934-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N SUMTER ST",
            "address_2": "SUITE 315",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504972",
            "telephone_number": "803-934-0810",
            "fax_number": "803-934-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-16",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "PHYSICIAN PARTNER",
        "authorized_official_telephone_number": "803-934-0810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3552",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palmetto Adult Medicine LLC
• Palmetto Family & Cosmetic Dentistry
• Palmetto Family & Cosmetic Dentistry
• Palmetto Family and Cosmetic Dentistry IV (Sumter Dental Surgery Center)
• Palmetto Family and Cosmetic Dentistry LLC
• Palmetto Health (Palmetto Health Counseling Sumter)
• Palmetto Health (Palmetto Health Physician Practice Network at Sumter)
• Palmetto Health (Palmetto Health Counseling - Sumter)
• Palmetto Health (Sumter Orthopaedic Surgery)
• Palmetto Health - University of South Carolina Medical Group

• Family Medicine Physician in Sumter, SC
• Providers in Sumter, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.