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PALMETTO ADULT MEDICINE
NPI 1043077654
Internal Medicine in Sumter, SC

Active since February 29, 2024CLIA 42D0963688 · Waiver
1295 WILSON HALL RD, SUMTER, SC 29150(803) 905-6800(803) 905-6810 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Palmetto Adult Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PALMETTO ADULT MEDICINE (NPI 1043077654) is a healthcare organization registered as an internal medicine in Sumter, South Carolina and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through June 30, 2028 and lists Samuel Fulton Ervin, Sr Vp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1043077654
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC
Location Address1295 WILSON HALL RDSumter, SC 29150-1804
Mailing AddressPo Box 601743Charlotte, NC 28260-1743 · (803) 905-6800 · Fax (843) 777-7102
Phone(803) 905-6800
Fax(803) 905-6810
Organization SubpartYesParent: Mcleod Health
Authorized OfficialSamuel Fulton ErvinSr Vp & Cfo · (843) 777-2910
Enumeration DateFebruary 29, 2024
NPPES CertifiedFebruary 29, 2024
✔ NPI 1043077654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1295 WILSON HALL RD, Sumter, SC 29150
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Other Names 1

Doing Business AsPalmetto Adult Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D0963688

Palmetto Adult Medicine Mcleod Physician Associates II · Sumter, SC
Active · expires Jun 30, 2028
CLIA Number42D0963688
Laboratory TypePhysician Office
Certificate Effective DateJuly 1, 2026
Certificate Expiration DateJune 30, 2028
Laboratory DirectorAndrew J. Reynolds
Laboratory Phone(803) 905-6800
Laboratory LocationPalmetto Adult Medicine Mcleod Physician Associates II1295 Wilson Hall Road, Sumter, SC 29150
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HARRY A JORDAN M.D.
Internal Medicine
1295 WILSON HALL RD
SUMTER, SC 29150
Sumter County (803) 905-6800
DR. ANDREW J. REYNOLDS MD
Internal Medicine
1295 WILSON HALL RD
SUMTER, SC 29150
Sumter County (803) 905-6800
DR. MICHAEL OWEN OUZTS DO
Family Medicine
1295 WILSON HALL RD
SUMTER, SC 29150
Sumter County (803) 905-6800
PALMETTO ADULT MEDICINE LLC
Internal Medicine
1295 WILSON HALL RD
SUMTER, SC 29150
Sumter County (803) 905-6800
DR. KRISTEN NICOLE HERRING MD
Family Medicine
1295 WILSON HALL RD
SUMTER, SC 29150
Sumter County (803) 905-6800
MRS. KATHERINE SILLIMAN COFFEY PA
Physician Assistant
1295 WILSON HALL RD
SUMTER, SC 29150
Sumter County (803) 905-6800
MCLEOD PHYSICIAN ASSOCIATES II
Internal Medicine
1295 WILSON HALL RD
SUMTER, SC 29150
Sumter County (803) 905-6800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mcleod Regional Medical Center Of The Pee Dee, Inc's NPI number?

The NPI number for Mcleod Regional Medical Center Of The Pee Dee, Inc is 1043077654. It was assigned to this organization in the NPPES registry on February 29, 2024. The provider is doing business as Palmetto Adult Medicine.

Where is Mcleod Regional Medical Center Of The Pee Dee, Inc located?

Mcleod Regional Medical Center Of The Pee Dee, Inc is located at 1295 Wilson Hall Rd, Sumter, SC 29150. The listed phone number is (803) 905-6800.

What is Mcleod Regional Medical Center Of The Pee Dee, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Mcleod Regional Medical Center Of The Pee Dee, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D0963688) is associated with this NPI, valid through June 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mcleod Regional Medical Center Of The Pee Dee, Inc accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, InStil Health and Molina Healthcare list Mcleod Regional Medical Center Of The Pee Dee, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mcleod Regional Medical Center Of The Pee Dee, Inc was last updated on February 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.