Active NPI
Palmetto Primary Care Physicians, LLC
- Family Medicine Physician
- Summerville, SC
National Provider Identifier
1851332951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 11567
- Legal business name
- PALMETTO PRIMARY CARE PHYSICIANS, LLC
- Practice address
- 213 W 4TH North St
Summerville, SC 29483-6541 - Phone
- (843) 873-0681
- Fax
- (843) 873-2749
- NPI assigned
- Jun 9, 2006
- Last updated
- May 8, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Terry Cunningham
- Title
- Ceo
- Phone
- (843) 572-7727
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | NU | ||
| Family Medicine Physician | 207Q00000X | 11567 | SC | Primary |
Addresses
Primary practice location
213 W 4TH North St
Summerville, SC 29483-6541
Mailing address
PO Box 530062
Atlanta, GA 30353-0062
Phone (843) 572-7727
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP1553 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031113000287 | SC | Part B Supplier - Clinic/Group Practice | 4880508068 |
Receives reassigned benefits from 345 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryLocations
300 W 4th North St
Summerville, SC 29483
Phone (843) 285-7515
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Summerville, SC
- NPI 1003431511
-
- Physician Assistant
- Summerville, SC
- NPI 1407611643
-
- Family Nurse Practitioner
- Summerville, SC
- NPI 1114765625
-
- Nurse Practitioner
- Shallotte, NC
- NPI 1619271681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778198400000",
"number": "1851332951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 530062",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303530062",
"telephone_number": "843-572-7727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 W 4TH NORTH ST",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294836541",
"telephone_number": "843-873-0681",
"fax_number": "843-873-2749"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALMETTO PRIMARY CARE PHYSICIANS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-09",
"last_updated": "2026-05-08",
"certification_date": "2026-05-08",
"status": "A",
"authorized_official_last_name": "CUNNINGHAM",
"authorized_official_first_name": "TERRY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "843-572-7727"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "11567",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP1553",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Summerville, SC
- Palmetto Primary Care Physicians, LLC
- Palmetto Primary Care Physicians, LLC (Palmetto Imaging and Womens Health)
- Palmetto Primary Care Physicians, LLC
- Palmetto Primary Care Physicians, LLC
- Palmetto Primary Care Physicians, LLC
- Palmetto Primary Care Physicians, LLC
- Palmetto Primary Care Physicians,LLC
- Palmetto Rehab of Charleston LLC
- Jennifer Ruth Palo, FNP
- Pumla Pamla-Gutter, MPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.