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PALMETTO VEIN SPECIALIST
NPI 1164711719
Family Medicine in Charleston, SC

Active since April 05, 2011CLIA 42D0250989 · Waiver
9263 MEDICAL PLAZA DR, STE C, CHARLESTON, SC 29406(843) 572-7727 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 1, 2021, May 25, 2021 (2 updates tracked since 2021).

About Palmetto Vein Specialist NPPES

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

PALMETTO VEIN SPECIALIST (NPI 1164711719) is a healthcare organization registered as a family medicine in Charleston, South Carolina and active in the NPI registry since April 2011. The organization holds a CLIA Waiver certificate valid through June 9, 2027 and lists Scott G Turner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1164711719
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePALMETTO PRIMARY CARE PHYSICIANS, LLC
Location Address9263 MEDICAL PLAZA DR, STE CCharleston, SC 29406-7109
Mailing AddressPo Box 530062Atlanta, GA 30353-0062 · (843) 695-6071
Phone(843) 572-7727
Organization SubpartNo
Authorized OfficialScott G TurnerCeo · (843) 695-6071
Enumeration DateApril 5, 2011
Last NPPES UpdateJune 1, 20212 updates tracked since enumeration
NPPES CertifiedJune 1, 2021
✔ NPI 1164711719 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.
9263 MEDICAL PLAZA DR, Charleston, SC 29406
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Other Names 1

Doing Business AsPalmetto Vein Specialist

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 42D0250989

Palmetto Primary Care Physicians-Trident · Charleston, SC
Active · expires Jun 9, 2027
CLIA Number42D0250989
Laboratory TypePhysician Office
Certificate Effective DateJune 10, 2025
Certificate Expiration DateJune 9, 2027
Laboratory DirectorKyle R. Libbey
Laboratory Phone(843) 820-3396
Laboratory LocationPalmetto Primary Care Physicians-Trident9313 Medical Plaza Drive Suite 202, Charleston, SC 29406
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 42D0251357

Palmetto Primary Care Physicians-Central Lab · North Charleston, SC
Expired · Aug 10, 2026
CLIA Number42D0251357
Laboratory TypePhysician Office
Certificate Effective DateAugust 11, 2024
Certificate Expiration DateAugust 10, 2026
Laboratory DirectorJoseph M. Pfeiffer
Laboratory Phone(843) 820-3396
Laboratory LocationPalmetto Primary Care Physicians-Central Lab2500 Elms Center Rd, North Charleston, SC 29406
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

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

SALLIE B BEAM CRNA
Nurse Anesthetist, Certified Registered
9263 MEDICAL PLAZA DR, STE E
CHARLESTON, SC 29406
Charleston County (843) 572-1228
ELISE M COUCH CRNA
Nurse Anesthetist, Certified Registered
9263 MEDICAL PLAZA DR, STE E
CHARLESTON, SC 29406
Charleston County (843) 572-1228
TARA A QUEENER MD
Anesthesiology
9263 MEDICAL PLAZA DR, STE E
CHARLESTON, SC 29406
Charleston County (843) 572-1228
BETHANY D STEPHENSON
Massage Therapist
9263 MEDICAL PLAZA DR, STE D
CHARLESTON, SC 29406
Charleston County (843) 302-8845
FRANK J OVERDYK MD
Anesthesiology
9263 MEDICAL PLAZA DR, SUITE E
CHARLESTON, SC 29406
Charleston County (843) 576-6168
NANCY R WATSON CRNA
Nurse Anesthetist, Certified Registered
9263 MEDICAL PLAZA DR, STE E
CHARLESTON, SC 29406
Charleston County (843) 572-1228
DR. SUMMAR CHRISTIAN PHILLIPS M.D.
Anesthesiology
9263 MEDICAL PLAZA DR, SUITE E
CHARLESTON, SC 29406
Charleston County (843) 572-1228
DR. MARK WARREN WEST M.D.
Anesthesiology
9263 MEDICAL PLAZA DR, STE E
CHARLESTON, SC 29406
Charleston County (843) 572-1228

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 Primary Care Physicians, LLC's NPI number?

The NPI number for Palmetto Primary Care Physicians, LLC is 1164711719. It was assigned to this organization in the NPPES registry on April 5, 2011. The provider is doing business as Palmetto Vein Specialist.

Where is Palmetto Primary Care Physicians, LLC located?

Palmetto Primary Care Physicians, LLC is located at 9263 Medical Plaza Dr Ste C, Charleston, SC 29406. The listed phone number is (843) 572-7727.

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

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

Does Palmetto Primary Care Physicians, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D0250989) is associated with this NPI, valid through June 9, 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 Primary Care Physicians, LLC was last updated on June 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.