Organization Active NPI

Palmetto Family Medicine

  • Family Medicine Physician
  • Taylors, SC
National Provider Identifier
1740376052
Registry record updated Jun 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PALMETTO FAMILY MEDICINE
Practice address
3551A Rutherford Rd
Taylors, SC 29687-2195
Phone
(864) 268-2333
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2009

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

Authorized official

Name
Michael E Zeager, MD
Title
President
Phone
(864) 268-2333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3551A Rutherford Rd
Taylors, SC 29687-2195

Mailing address

3551A Rutherford Rd
Taylors, SC 29687-2195
Phone (864) 268-2333

Other identifiers 1

IdentifierTypeStateIssuer
GP2463MedicaidSC

National Provider Directory

National Provider Directory

Locations

3551A Rutherford Rd
Taylors, SC 29687
Phone (864) 268-2333

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1740376052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551A RUTHERFORD RD",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296872195",
            "telephone_number": "864-268-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551A RUTHERFORD RD",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296872195",
            "telephone_number": "864-268-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "ZEAGER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-268-2333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2463",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylors, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; 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.