PALMETTO INTERNAL MEDICINE & PRIMARY CARE, PA
NPI 1124335898
Internal Medicine in Mauldin, SC

Active since September 01, 2010CLIA 42D2013664 · Microscopy
300 W BUTLER RD, MAULDIN, SC 29662(864) 277-8300(864) 288-8722 Get Directions Write a Review

NPPES record last updated: November 13, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Palmetto Internal Medicine & Primary Care, Pa NPPES

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

PALMETTO INTERNAL MEDICINE & PRIMARY CARE, PA (NPI 1124335898) is a healthcare organization registered as an internal medicine in Mauldin, South Carolina and active in the NPI registry since September 2010. The organization holds a CLIA Microscopy certificate valid through September 22, 2026 and lists Bala Krishniah, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1124335898
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePALMETTO INTERNAL MEDICINE & PRIMARY CARE, PA
Location Address300 W BUTLER RDMauldin, SC 29662-2538
Mailing Address300 W Butler RdMauldin, SC 29662-2538 · (864) 277-8300 · Fax (864) 288-8722
Fax(864) 288-8722
Organization SubpartNo
Authorized OfficialBala KrishniahPhysician Owner · (864) 991-9015
Enumeration DateSeptember 1, 2010
Last NPPES UpdateNovember 13, 2012
NPI 1124335898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in SC · 19652
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.
300 W BUTLER RD, Mauldin, SC 29662

Other Identifiers 1

Medicare UPING61634SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted 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 for Provider-Performed Microscopy Procedures (PPMP) 42D2013664

Palmetto Internal Medicine & Primary Care PA · Mauldin, SC
Active · expires Sep 22, 2026
CLIA Number42D2013664
Laboratory TypePhysician Office
Certificate Effective DateSeptember 23, 2024
Certificate Expiration DateSeptember 22, 2026
Laboratory DirectorDr. Balasubramanyam Krishniah
Laboratory Phone(864) 236-9555
Laboratory LocationPalmetto Internal Medicine & Primary Care PA300 West Butler Road, Mauldin, SC 29662
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 10

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

Physician Assistant
300 W BUTLER RD
MAULDIN, SC 29662
Counselor (Professional)
300 W BUTLER RD, SUITE B
MAULDIN, SC 29662
In Home Supportive Care
300 W BUTLER RD, SUITE B
MAULDIN, SC 29662
Nurse Practitioner (Family)
300 W BUTLER RD
MAULDIN, SC 29662
Nurse Practitioner (Family)
300 W BUTLER RD
MAULDIN, SC 29662
Pharmacy
300 W BUTLER RD, SUITE A
MAULDIN, SC 29662
Nurse Practitioner (Family)
300 W BUTLER RD
MAULDIN, SC 29662
Nurse Practitioner (Family)
300 W BUTLER RD
MAULDIN, SC 29662

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 Internal Medicine & Primary Care, PA's NPI number?

The NPI number for Palmetto Internal Medicine & Primary Care, PA is 1124335898. It was assigned to this organization in the NPPES registry on September 1, 2010.

Where is Palmetto Internal Medicine & Primary Care, PA located?

Palmetto Internal Medicine & Primary Care, PA is located at 300 W Butler Rd, Mauldin, SC 29662. The listed phone number is (864) 277-8300.

What is Palmetto Internal Medicine & Primary Care, PA's specialty?

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

Does Palmetto Internal Medicine & Primary Care, PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 42D2013664) is associated with this NPI, valid through September 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Palmetto Internal Medicine & Primary Care, PA accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and InStil Health and 1 other insurer list Palmetto Internal Medicine & Primary Care, PA 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 Palmetto Internal Medicine & Primary Care, PA was last updated on November 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.