NPIMap

Organization Active NPI

Palmetto Health

  • Internal Medicine Physician
  • Easley, SC
National Provider Identifier
1790737369
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PALMETTO HEALTH
Practice address
106 John St
Suite B
Easley, SC 29640-1415
Phone
(864) 855-5104
Fax
(864) 859-9362
NPI assigned
May 16, 2006
Organization subpart
Yes
Parent organization
PALMETTO HEALTH ALLIANCEAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Ms. Kendall J Durham
Title
Manager -Patient Financial Services
Phone
(864) 855-5104

Practitioners 48

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

View all 48

National Provider Directory

National Provider Directory
Part of
Markowitz and Associates

Locations

106 John St
Ste B
Easley, SC 29640
Phone (864) 855-5104

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X

Addresses

NPPES NPI Registry

Primary practice location

106 John St
Suite B
Easley, SC 29640-1415

Mailing address

PO Box 2089
Easley, SC 29641-2089
Phone (864) 855-5104

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
GP3988MedicaidSC

Other names 1

NPPES NPI Registry
  • Palmetto Health Hospitalist Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 12, 2008.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1790737369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2089",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296412089",
            "telephone_number": "864-855-5104",
            "fax_number": "864-859-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 JOHN ST",
            "address_2": "SUITE B",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296401415",
            "telephone_number": "864-855-5104",
            "fax_number": "864-859-9362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PALMETTO HEALTH ALLIANCE",
        "enumeration_date": "2006-05-16",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "DURHAM",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER -PATIENT FINANCIAL SERVICES",
        "authorized_official_telephone_number": "864-855-5104",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3988",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palmetto Health Hospitalist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Easley, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.