Organization Active NPI

Palmetto Imaging, LLC

  • Diagnostic Radiology Physician
  • Columbia, SC
National Provider Identifier
1871551390
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
PALMETTO IMAGING, LLC
Doing business as
Palmetto Imaging Downtown
Practice address
1331 Lady Street
Columbia, SC 29201-3319
Phone
(770) 300-0101
Fax
(770) 300-0429
NPI assigned
May 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Authorized official

Name
Mr. Warren Christopher Shea
Title
Chief Legal Officer
Phone
(678) 992-7255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X SC Primary

Addresses

Primary practice location

1331 Lady Street
Columbia, SC 29201-3319

Mailing address

PO Box 933548
Atlanta, GA 31193-3548
Phone (770) 300-0101

Other identifiers 2

IdentifierTypeStateIssuer
470000944OtherSCRAILROAD MEDICARE
571103875OtherSCBCBS

Other names 1

  • Palmetto Imaging Downtown Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120406000301 SC Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 4284601188 Practice locations: Columbia, SC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D1021134Palmetto Imaging Inc1331 Lady Street, Columbia, SC 29201Certificate of waiverMar 16, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1871551390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 933548",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311933548",
            "telephone_number": "770-300-0101",
            "fax_number": "770-300-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 LADY STREET",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013319",
            "telephone_number": "770-300-0101",
            "fax_number": "770-300-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CHIEF LEGAL OFFICER",
        "authorized_official_telephone_number": "678-992-7255",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "470000944",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "571103875",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palmetto Imaging Downtown",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palmetto Imaging Downtown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.