NPIMap

Organization Active NPI

Palmetto Gastroenterology & Hepatology, PA

  • Specialist
  • Aiken, SC
National Provider Identifier
1972786846
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
18382 Issued in SC
Legal business name
PALMETTO GASTROENTEROLOGY & HEPATOLOGY, PA
Practice address
103 Gregg Ave NW
Aiken, SC 29801-3096
Phone
(803) 226-0799
Fax
(803) 563-8614
NPI assigned
Dec 13, 2007
Last updated
Feb 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Authorized official

Name
Dr. Afsar Waraich, MDNPI 1497719975
Title
President
Phone
(803) 226-0799

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 18382 SC Primary

Addresses

Primary practice location

103 Gregg Ave NW
Aiken, SC 29801-3096

Mailing address

103 Gregg Ave NW
Aiken, SC 29801-3096
Phone (803) 226-0799

Other identifiers 1

IdentifierTypeStateIssuer
GP1751MedicaidSC

Other names 1

  • Palmetto Internal Medicine and Sub Specialty Associates, PA Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050509000836 SC Part B Supplier - Clinic/Group Practice 0547200578 Receives reassigned benefits from 5 practitioners
Practice locations: Aiken, SC

National Provider Directory

National Provider Directory

Locations

103 Gregg Ave NW
Ste 101
Aiken, SC 29801

85 Wren St
Barnwell, SC 29812
Phone (803) 541-4702

Practitioners & affiliated clinicians

Practitioners 44

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.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1972786846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 GREGG AVE NW",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013096",
            "telephone_number": "803-226-0799",
            "fax_number": "803-563-8614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 GREGG AVE NW",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013096",
            "telephone_number": "803-226-0799",
            "fax_number": "803-563-8614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO GASTROENTEROLOGY & HEPATOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2023-02-23",
        "certification_date": "2021-06-18",
        "status": "A",
        "authorized_official_last_name": "WARAICH",
        "authorized_official_first_name": "AFSAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-226-0799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "18382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1751",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palmetto Internal Medicine and Sub Specialty Associates, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Palmetto Internal Medicine and Sub Specialty Associates, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.