Organization Active NPI

Palmetto Physicians Services, LLC

  • Family Medicine Physician
  • Abbeville, SC
National Provider Identifier
1689229270
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PALMETTO PHYSICIANS SERVICES, LLC
Practice address
1822 Monterey Rd
Abbeville, SC 29620-4659
Phone
(615) 335-4666
NPI assigned
Aug 9, 2019
Last updated
Aug 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Authorized official

Name
Bridgett Seagroves, MDNPI 1275829871
Title
Owner
Phone
(615) 335-4666

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1822 Monterey Rd
Abbeville, SC 29620-4659

Mailing address

PO Box 49547
Greenwood, SC 29649-0010
Phone (615) 335-4666

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191029003701 SC Part B Supplier - Clinic/Group Practice 0244562916 Receives reassigned benefits from 3 practitioners
Practice locations: Abbeville, SC; Greenwood, SC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1565308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565308800000",
    "number": "1689229270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 49547",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296490010",
            "telephone_number": "615-335-4666",
            "fax_number": "864-330-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 MONTEREY RD",
            "city": "ABBEVILLE",
            "state": "SC",
            "postal_code": "296204659",
            "telephone_number": "615-335-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO PHYSICIANS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-09",
        "last_updated": "2019-08-09",
        "status": "A",
        "authorized_official_last_name": "SEAGROVES",
        "authorized_official_first_name": "BRIDGETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-335-4666",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abbeville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.