Organization Active NPI

Stetty Palms, LLC

  • Chiropractor
  • Aiken, SC
National Provider Identifier
1679642698
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1179 Issued in SC
Legal business name
STETTY PALMS, LLC
Practice address
952 Dougherty Rd
Aiken, SC 29803-6018
Phone
(803) 648-2023
NPI assigned
Nov 6, 2006
Last updated
Mar 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Authorized official

Name
Dr. Malinda E Robinson, DCNPI 1427831106
Title
Owner
Phone
(803) 648-2023

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1179 SC Primary

Addresses

Primary practice location

952 Dougherty Rd
Aiken, SC 29803-6018

Mailing address

952 Dougherty Rd
Aiken, SC 29803-6018
Phone (803) 648-2023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040428000586 SC Part B Supplier - Clinic/Group Practice 6002803434 Receives reassigned benefits from 1 practitioner
Practice locations: Aiken, SC
O20250402001277 SC Part B Supplier - Clinic/Group Practice 6103349964 Receives reassigned benefits from 1 practitioner
Practice locations: Aiken, SC

National Provider Directory

National Provider Directory

Locations

952 Dougherty Rd
Aiken, SC 29803
Phone (803) 648-2023

Practitioners & affiliated clinicians

Practitioners 3

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": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1679642698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "952 DOUGHERTY RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298036018",
            "telephone_number": "803-648-2023",
            "fax_number": "803-648-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 DOUGHERTY RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298036018",
            "telephone_number": "803-648-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STETTY PALMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "MALINDA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-648-2023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1179",
            "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 Mar 24, 2025; 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.