PALMETTO BONE AND JOINT
NPI 1104472109
Orthopaedic Surgery in Newberry, SC

Active since August 15, 2019CLIA Certified · 2 labs
PALMETTO BONE AND JOINT, 2605 KINARD ST SUITE 105, NEWBERRY, SC 29108(803) 321-6254(803) 321-6259 Get Directions Write a Review

NPPES record last updated: August 15, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Palmetto Bone And Joint NPPES

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

PALMETTO BONE AND JOINT (NPI 1104472109) is a healthcare organization registered as an orthopaedic surgery in Newberry, South Carolina and active in the NPI registry since August 2019. The organization holds 2 active CLIA laboratory certificates and lists Phillip H. Milner, Physician, as its authorized official.

NPPES Registry Identity

NPI1104472109
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NamePALMETTO BONE AND JOINT
Location AddressPALMETTO BONE AND JOINT, 2605 KINARD ST SUITE 105Newberry, SC 29108
Mailing Address2605 Kinard StNewberry, SC 29108 · (803) 321-6254 · Fax (803) 321-6259
Fax(803) 321-6259
Organization SubpartYes
Authorized OfficialPhillip H. MilnerPhysician · (864) 833-3046
Enumeration DateAugust 15, 2019
NPI 1104472109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
PALMETTO BONE AND JOINT, Newberry, SC 29108

Other Identifiers 1

MedicaidGP0620SC

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

CLIA Laboratory Certificates CMS CLIA 2

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 42D2092416

Palmetto Bone And Joint · Newberry, SC
Active · expires Mar 3, 2027
CLIA Number42D2092416
Laboratory TypePhysician Office
Certificate Effective DateMarch 4, 2025
Certificate Expiration DateMarch 3, 2027
Laboratory DirectorGiridhar Gundu
Laboratory Phone(803) 321-6254
Laboratory LocationPalmetto Bone And Joint2605 Kinard Street, Suite 105, Newberry, SC 29108
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 42D2085330

Palmetto Bone And Joint · Clinton, SC
Active · expires Oct 9, 2026
CLIA Number42D2085330
Laboratory TypePhysician Office
Certificate Effective DateOctober 10, 2024
Certificate Expiration DateOctober 9, 2026
Laboratory DirectorGiridhar Gundu
Laboratory Phone(864) 833-3046
Laboratory LocationPalmetto Bone And Joint22971 Hwy 76 E, Clinton, SC 29325
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Palmetto Bone And Joint's NPI number?

The NPI number for Palmetto Bone And Joint is 1104472109. It was assigned to this organization in the NPPES registry on August 15, 2019.

Where is Palmetto Bone And Joint located?

Palmetto Bone And Joint is located at Palmetto Bone And Joint 2605 Kinard St Suite 105, Newberry, SC 29108. The listed phone number is (803) 321-6254.

What is Palmetto Bone And Joint's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Does Palmetto Bone And Joint hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Palmetto Bone And Joint was last updated on August 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.