SUMMERVILLE FAMILY PRACTICE ASSOCIATES - NPI 1144630716 - Family Medicine in Summerville, SC

Q: What is Palmetto Primary Care Physicians, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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About Summerville Family Practice Associates NPPES

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

SUMMERVILLE FAMILY PRACTICE ASSOCIATES (NPI 1144630716) is a healthcare organization registered as a family medicine in Summerville, South Carolina and active in the NPI registry since May 2014. The organization lists Thomas Brantley Arnau, President, as its authorized official.

NPPES Registry Identity

NPI1144630716

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePALMETTO PRIMARY CARE PHYSICIANS, LLC

Location Address435 N CEDAR STSummerville, SC 29483-6407

Mailing AddressPo Box 530062Atlanta, GA 30353-0062 · (843) 695-6071 · Fax (843) 871-2936

Phone(843) 873-1592

Fax(843) 871-2936

Organization SubpartNo

Authorized OfficialThomas Brantley ArnauPresident · (843) 572-7727

Enumeration DateMay 5, 2014

Last NPPES UpdateJune 1, 20212 updates tracked since enumeration

NPPES CertifiedJune 1, 2021

✔ NPI 1144630716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

435 N CEDAR ST, Summerville, SC 29483

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Other Names 1

Doing Business AsSummerville Family Practice Associates

Other Identifiers 1

MedicaidGP6501SC

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 First Choice Next, Molina Healthcare.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) 42D0251329

Palmetto Primary Care Physicians-Azalea · Summerville, SC

Expired · Jul 31, 2026

CLIA Number42D0251329

Laboratory TypePractitioner Other

Certificate Effective DateAugust 1, 2024

Certificate Expiration DateJuly 31, 2026

Laboratory DirectorBrian K. Keller

Laboratory Phone(843) 873-1592

Laboratory LocationPalmetto Primary Care Physicians-Azalea133 East 1st North Street, Suite 5, Summerville, SC 29483

CLIA data matches this NPI record on: Name Phone

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 9

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

SHIRLEY L HO PA

Physician Assistant