Palmetto Specialty Long Term Care

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

Legal business name

PALMETTO SPECIALTY LONG TERM CARE

Practice address

2315 Gadsden St
Columbia, SC 29201-2038

Phone

(803) 260-1019

NPI assigned

Jul 25, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Kevin John McDermott

Title

Owner/Ceo

Phone

(843) 513-4120

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 1

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

• Jamae Cherie McDermott, MD

  • Forensic Psychiatry Physician
  • Columbia, SC
  • NPI 1700918562

  Geriatric Psychiatry

  Medicare reassignment NPD

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1730860552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 GADSDEN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012038",
            "telephone_number": "803-260-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 GADSDEN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012038",
            "telephone_number": "803-260-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO SPECIALTY LONG TERM CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-25",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "MCDERMOTT",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "843-513-4120",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palmetto RX Solutions Inc
• Palmetto Senior Care at Home LLC
• Palmetto Senior Care Shandon
• Palmetto Southern Comfort Diagnostics (PSC Diagnostics)
• Palmetto Southern Comfort Home Care
• Palmetto Speech Language Literacy Group, LLC
• Palmetto Spinal Center, LLC
• Palmetto State Eyecare, LLC
• Palmetto Surgery Center LLC
• Palmetto Surgical Associates PA

• Geriatric Psychiatry Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Geriatric Psychiatry Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.