Palmetto Kidney and Hypertension LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

14170 Issued in SC

Legal business name

PALMETTO KIDNEY AND HYPERTENSION LLC

Practice address

2093 Henry Tecklenburg Drive
Suite 307
Charleston, SC 29414-5741

Phone

(843) 573-0858

Fax

(843) 573-0859

NPI assigned

Oct 13, 2006

Organization subpart

No

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

Authorized official

Name

Deanna Ellington Cheek, MDNPI 1801837653

Title

Owner

Phone

(843) 573-0858

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 5

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

• Deanna Ellington Cheek, M.D.

  • Nephrology Physician
  • Charleston, SC
  • NPI 1801837653
  Medicare reassignment NPD Authorized official
• Ashley Noelle Simmons

  • Nephrology Physician
  • Charleston, SC
  • NPI 1326767963
  NPD
• Ifeyinwa Anigbogu, MD

  • Nephrology Physician
  • Douglasville, GA
  • NPI 1720243751
  NPD
• Angela M Dillon

  • Internal Medicine Physician
  • Fayetteville, NC
  • NPI 1568877991

  Nephrology

  NPD
• Osemwegie Emmanuel Emovon, M.D.

  • Nephrology Physician
  • Charleston, SC
  • NPI 1285684548
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1811087539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2093 HENRY TECKLENBURG DRIVE",
            "address_2": "STE 307",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145743",
            "telephone_number": "843-766-9105",
            "fax_number": "843-402-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2093 HENRY TECKLENBURG DRIVE",
            "address_2": "SUITE 307",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145741",
            "telephone_number": "843-573-0858",
            "fax_number": "843-573-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO KIDNEY AND HYPERTENSION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "CHEEK",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "ELLINGTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-573-0858",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "SC",
            "license": "14170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4468",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palmetto Digestive Disease PA
• Palmetto Endoscopy Center LLC
• Palmetto Health Psychology LLC
• Palmetto Home Healthcare
• Palmetto in Homern
• Palmetto Lowcountry Behavioral Health, LLC (Palmetto Lowcountry Behavioral Health)
• Palmetto Lowcountry Behavioral Health, LLC
• Palmetto Primary Care Physicians, LLC
• Palmetto Primary Care Physicians, LLC (PPCP Canterbury House)
• Palmetto Primary Care Physicians, LLC (Palmetto Vein Specialist)

• Nephrology Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Nephrology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.