Palmetto Dynamics

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PALMETTO DYNAMICS

Practice address

4112 Hartford St
Columbia, SC 29204-3025

Phone

(803) 234-2216

Fax

(866) 263-6551

NPI assigned

Jun 1, 2009

Organization subpart

No

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

Authorized official

Name

Mr. James Kelvin Johnson

Title

Administrator

Phone

(803) 234-2216

Specialties & licenses 1

Addresses

Tax ID family

Carolina Care Center2 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.

• Carolina Care Center

  • Community/Behavioral Health Agency
  • West Columbia, SC
  • NPI 1336471895
  NPD tax ID

Locations

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1972739258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 SAINT ANDREWS RD",
            "address_2": "STE 319",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292121137",
            "telephone_number": "803-234-2216",
            "fax_number": "866-263-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4112 HARTFORD ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292043025",
            "telephone_number": "803-234-2216",
            "fax_number": "866-263-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO DYNAMICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-01",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "KELVIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "803-234-2216",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palmetto Care Bears Home Health Care, LLC
• Palmetto Community Group, LLC
• Palmetto Comprehensive Behavioral Health (PCBH)
• Palmetto Dental Services
• Palmetto Dermpath Services LLC
• Palmetto Endodontics, LLC
• Palmetto Endodontics, LLC
• Palmetto Endoscopy Professionals PA
• Palmetto Endoscopy Suite, LLC
• Palmetto ENT Consultants, P.a.

• Community/Behavioral Health Agency in Columbia, SC
• Providers in Columbia, SC by specialty
• Community/Behavioral Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; 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.