The Palmetto Palace

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

THE PALMETTO PALACE

Practice address

217 Flat St E
Allendale, SC 29810-4647

Phone

(843) 532-3169

NPI assigned

Dec 11, 2019

Organization subpart

No

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

Authorized official

Name

Youlanda Gibbs, EDD

Title

Executive Director

Phone

(843) 532-3169

Specialties & licenses 1

Addresses

Tax ID family

The Palmetto Palace2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• The Palmetto Palace

  • Rural Health Clinic/Center
  • Allendale, SC
  • NPI 1962969154
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20328/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1851939748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21076",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294131076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 FLAT ST E",
            "city": "ALLENDALE",
            "state": "SC",
            "postal_code": "298104647",
            "telephone_number": "843-532-3169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 Carner Ave",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294058026",
            "country_code": "US",
            "telephone_number": "843-532-3169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE PALMETTO PALACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "YOULANDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "843-532-3169",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• State of South Carolina
• Anita Stevens
• Katherine Elizabeth Tharin, LPC
• The Blake Adult Day Care LLC
• The Blake Sitter Service
• The Palmetto Palace
• Triple E Residential Care
• Triple E Residential Care
• Walgreen Co
• Shalonda Nicole Washington Walker, MA, CCC-SLP

• General Practice Physician in Allendale, SC
• Providers in Allendale, SC by specialty
• General Practice Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.