NPIMap

Organization Active NPI

Palmetto Podiatry Group of Anderson, PA

  • Non-Pharmacy Dispensing Site
  • Anderson, SC
National Provider Identifier
1619720083
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
PALMETTO PODIATRY GROUP OF ANDERSON, PA
Practice address
2126B Highway 81 N
Anderson, SC 29621-1532
Phone
(864) 231-6395
Fax
(864) 231-6520
NPI assigned
Apr 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Kiya Boyce
Title
Regional Credentialing Specialist
Phone
(301) 933-7133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

2126B Highway 81 N
Anderson, SC 29621-1532

Mailing address

PO Box 825159
Philadelphia, PA 19182-5159

National Provider Directory

National Provider Directory
Tax ID family
Palmetto Podiatry Group of Anderson PA6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2126B Highway 81 N
Anderson, SC 29621
Phone (864) 231-6395

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1619720083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 825159",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191825159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126B HIGHWAY 81 N",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211532",
            "telephone_number": "864-231-6395",
            "fax_number": "864-231-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO PODIATRY GROUP OF ANDERSON, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "BOYCE",
        "authorized_official_first_name": "KIYA",
        "authorized_official_title_or_position": "REGIONAL CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "301-933-7133"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.