Organization Active NPI

Palmetto Carolina Treatment Center, LLC

  • Methadone Clinic
  • Duncan, SC
National Provider Identifier
1962805291
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
PALMETTO CAROLINA TREATMENT CENTER, LLC
Practice address
325 Inglesby Pkwy Unit F
Duncan, SC 29334-9117
Phone
(864) 433-8443
Fax
(864) 433-0495
NPI assigned
Oct 1, 2014
Last updated
Feb 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Authorized official

Name
Mrs. Joy Bailley
Title
Chief Operating Officer
Phone
(864) 527-1250

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Clinic Pharmacy 3336C0002X 15109 SC

Addresses

Primary practice location

325 Inglesby Pkwy Unit F
Duncan, SC 29334-9117

Mailing address

3523 Pelham Rd Ste C
Greenville, SC 29615-4191
Phone (864) 527-1250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Opioid treatment program
Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200203002636 SC Part B Supplier - Opioid Treatment Program (Otp) 5193151504 Practice locations: Duncan, SC

National Provider Directory

National Provider Directory

Locations

325 Inglesby Pkwy
#F
Duncan, SC 29334
Phone (864) 433-8443

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1962805291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3523 PELHAM RD STE C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154191",
            "telephone_number": "864-527-1250",
            "fax_number": "864-203-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 INGLESBY PKWY UNIT F",
            "city": "DUNCAN",
            "state": "SC",
            "postal_code": "293349117",
            "telephone_number": "864-433-8443",
            "fax_number": "864-433-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO CAROLINA TREATMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-01",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "BAILLEY",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "864-527-1250",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "SC",
            "license": "15109",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncan, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.

Verify at the official NPI Registry.