Active NPI
Palmetto Transport Service, LLC
- Non-emergency Medical Transport (VAN)
- Okatie, SC
National Provider Identifier
1851983126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- PALMETTO TRANSPORT SERVICE, LLC
- Practice address
- 61 Osprey Cir
Okatie, SC 29909-4228 - Phone
- (803) 374-4677
- Fax
- (843) 279-3158
- NPI assigned
- Feb 9, 2021
- 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
- Mrs. Lisa Brannon Blake
- Title
- Owner
- Phone
- (803) 374-4677
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
61 Osprey Cir
Okatie, SC 29909-4228
Mailing address
61 Osprey Cir
Okatie, SC 29909-4228
Phone (803) 374-4677
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21029024100644 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Lisa@palmettotransportservice.com | Direct |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- lisa@palmettotransportservice.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612828800000",
"number": "1851983126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 OSPREY CIR",
"city": "OKATIE",
"state": "SC",
"postal_code": "299094228",
"telephone_number": "803-374-4677",
"fax_number": "843-279-3158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 OSPREY CIR",
"city": "OKATIE",
"state": "SC",
"postal_code": "299094228",
"telephone_number": "803-374-4677",
"fax_number": "843-279-3158"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALMETTO TRANSPORT SERVICE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-09",
"last_updated": "2021-02-09",
"certification_date": "2021-02-09",
"status": "A",
"authorized_official_last_name": "BLAKE",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "BRANNON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "803-374-4677",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "21029024100644",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Lisa@palmettotransportservice.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "61 Osprey Cir",
"city": "Okatie",
"state": "SC",
"country_code": "US",
"postal_code": "299094228",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Okatie, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.