Palm Grove Regional Health, LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

PALM GROVE REGIONAL HEALTH, LLC

Practice address

415 Market St
Cheraw, SC 29520-2636

Phone

(843) 213-6170

NPI assigned

May 26, 2026

Organization subpart

Yes

Parent organization

PALM GROVE REGIONAL HEALTH, LLCAs reported in NPPES

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

Authorized official

Name

Susan Hayes, CPC

Title

Credentialing

Phone

(843) 292-0600

Specialties & licenses 1

Addresses

Tax ID family

Palm Grove Regional Health2 organizations share this tax ID, including this one

Part of

Palm Grove Regional Health

Other organizations with this tax ID 1

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

• Palm Grove Regional Health, LLC

  • Family Medicine Physician
  • Cheraw, SC
  • NPI 1043084817
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Palm Grove Regional Health, LLC

  • Family Medicine Physician
  • Cheraw, SC
  • NPI 1043084817
  NPPES parent name

Practitioners 1

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

• Eric M. Willoughby, FNP-BC

  • Family Nurse Practitioner
  • Cheraw, SC
  • NPI 1598802738
  NPD

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

{
    "created_epoch": "1779753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1679404156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 MARKET ST",
            "city": "CHERAW",
            "state": "SC",
            "postal_code": "295202636",
            "telephone_number": "843-213-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 MARKET ST",
            "city": "CHERAW",
            "state": "SC",
            "postal_code": "295202636",
            "telephone_number": "843-213-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM GROVE REGIONAL HEALTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PALM GROVE REGIONAL HEALTH, LLC",
        "enumeration_date": "2026-05-26",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "843-292-0600",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Andrew Novinger, M.D.
• Owens Eyecare Center Inc
• Richard E Owens, O.D.
• P & H Discount Pharmacy
• Palm Grove Regional Health, LLC
• Palmetto Family Medicine of Chesterfield County, LLC
• Palmetto Ridge Assisted Living & Memory Care LLC
• Passionate Grove Safe Haven
• Winston J Plunkett, MD
• Kimberly Dawn Powell, APRN, FNP-BC

• Rural Health Clinic/Center in Cheraw, SC
• Providers in Cheraw, SC by specialty
• Rural Health Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.