PALMETTO INTERNAL MEDICINE PA
NPI 1154423556
Internal Medicine in Columbia, SC

Active since September 05, 2006CLIA 42D2289634 · Waiver
1701 DEVONSHIRE DR, SUITE #101, COLUMBIA, SC 29204(803) 254-2800(803) 254-2890 Get Directions Write a Review

NPPES record last updated: April 5, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Palmetto Internal Medicine Pa NPPES

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

PALMETTO INTERNAL MEDICINE PA (NPI 1154423556) is a healthcare organization registered as an internal medicine in Columbia, South Carolina and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through September 12, 2027 and lists James Richard Herman, Md, as its authorized official.

NPPES Registry Identity

NPI1154423556
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePALMETTO INTERNAL MEDICINE PA
Location Address1701 DEVONSHIRE DR, SUITE #101Columbia, SC 29204
Mailing Address1701 Devonshire Dr, Suite #101Columbia, SC 29204 · (803) 254-2800 · Fax (803) 254-2890
Fax(803) 254-2890
Organization SubpartNo
Authorized OfficialJames Richard HermanMd · (803) 254-2800
Enumeration DateSeptember 5, 2006
Last NPPES UpdateApril 5, 2011
NPI 1154423556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1701 DEVONSHIRE DR, Columbia, SC 29204

Other Identifiers 2

Medicare UPINQ242404108
Medicare UPINC61172

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

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 42D2289634

Palmetto Internal Medicine · Columbia, SC
Active · expires Sep 12, 2027
CLIA Number42D2289634
Laboratory TypePhysician Office
Certificate Effective DateSeptember 13, 2025
Certificate Expiration DateSeptember 12, 2027
Laboratory DirectorDr. Edward A. Tillitz
Laboratory Phone(803) 254-2800
Laboratory LocationPalmetto Internal Medicine1701 Devonshire Drive, Suite 101, Columbia, SC 29204
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 3

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

Internal Medicine
1701 DEVONSHIRE DR
COLUMBIA, SC 29204
Internal Medicine
1701 DEVONSHIRE DR, SUITE #101
COLUMBIA, SC 29204
Physiological Laboratory
1701 DEVONSHIRE DR, SUITE 102
COLUMBIA, SC 29204

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 PA's NPI number?

The NPI number for Palmetto Internal Medicine PA is 1154423556. It was assigned to this organization in the NPPES registry on September 5, 2006.

Where is Palmetto Internal Medicine PA located?

Palmetto Internal Medicine PA is located at 1701 Devonshire Dr Suite #101, Columbia, SC 29204. The listed phone number is (803) 254-2800.

What is Palmetto Internal Medicine PA's specialty?

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

Does Palmetto Internal Medicine PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2289634) is associated with this NPI, valid through September 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Palmetto Internal Medicine PA was last updated on April 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.