Active NPI
Palmetto Imaging, LLC
- Diagnostic Radiology Physician
- Columbia, SC
National Provider Identifier
1871551390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470000944 | Other | SC | RAILROAD MEDICARE |
| 571103875 | Other | SC | BCBS |
Other names 1
- Palmetto Imaging Downtown
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D1021134 | Palmetto Imaging Inc | Certificate of waiver | Mar 16, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Columbia, SC
- NPI 1700859485
-
- Diagnostic Radiology Physician
- Columbia, SC
- NPI 1821062332
-
- Diagnostic Radiology Physician
- Columbia, SC
- NPI 1154385334
-
- Diagnostic Radiology Physician
- Charleston, SC
- NPI 1427002989
-
- Diagnostic Radiology Physician
- Anderson, SC
- NPI 1568419422
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1215190632
-
- Diagnostic Radiology Physician
- Eden Prairie, MN
- NPI 1619172400
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
- Palmetto Home Healthcare Solutions LLC
- Palmetto House Calls PC
- Palmetto Hyperbaric Solutions
- Palmetto Imaging, Inc
- Palmetto Imaging, Inc
- Palmetto Internal Medicine PA
- Palmetto Kidney and Hypertension Associates LLC
- Palmetto Kids Speech Therapy, LLC
- Palmetto Labs Now, LLC
- Palmetto Medical Practice, PC
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.