NPIMap

Organization Active NPI

Palmetto Fertility, LLC

  • Reproductive Endocrinology Physician
  • Greenville, SC
National Provider Identifier
1851286645
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
Legal business name
PALMETTO FERTILITY, LLC
Practice address
700 Executive Center Dr Ste 300
Greenville, SC 29615-4555
Phone
(864) 412-1950
Fax
(864) 412-0640
NPI assigned
Jun 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Authorized official

Name
Matt Tyson
Title
Director, Managed Care Contracting
Phone
(615) 477-6677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VE0102X Primary

Addresses

Primary practice location

700 Executive Center Dr Ste 300
Greenville, SC 29615-4555

Mailing address

700 Executive Center Dr Ste 300
Greenville, SC 29615-4555
Phone (864) 412-1950

Other names 1

  • CCRM Fertility Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CCRM Fertility3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773964800000",
    "number": "1851286645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 EXECUTIVE CENTER DR STE 300",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154555",
            "telephone_number": "864-412-1950",
            "fax_number": "864-412-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 EXECUTIVE CENTER DR STE 300",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154555",
            "telephone_number": "864-412-1950",
            "fax_number": "864-412-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO FERTILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-11",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A",
        "authorized_official_last_name": "TYSON",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "DIRECTOR, MANAGED CARE CONTRACTING",
        "authorized_official_telephone_number": "615-477-6677"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCRM Fertility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.