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PALMETTO PRIMARY CARE PHYSICIANS, LLC
NPI 1184663007
Family Medicine in Moncks Corner, SC

Active since June 06, 2006CLIA 42D0977791 · Microscopy
115 EXECUTIVE PKWY, MONCKS CORNER, SC 29461(843) 761-2815(843) 899-4723 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 1, 2021, May 25, 2021, Sep 12, 2016 (3 updates tracked since 2016).

About Palmetto Primary Care Physicians, Llc NPPES

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

PALMETTO PRIMARY CARE PHYSICIANS, LLC (NPI 1184663007) is a healthcare organization registered as a family medicine in Moncks Corner, South Carolina and active in the NPI registry since June 2006. The organization holds a CLIA Microscopy certificate valid through May 28, 2027 and lists Thomas Brantley Arnau, President, as its authorized official.

NPPES Registry Identity

NPI1184663007
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePALMETTO PRIMARY CARE PHYSICIANS, LLC
Location Address115 EXECUTIVE PKWYMoncks Corner, SC 29461-3955
Mailing AddressPo Box 530062Atlanta, GA 30353-0062 · (843) 695-6071 · Fax (843) 569-5881
Phone(843) 761-2815
Fax(843) 899-4723
Organization SubpartNo
Authorized OfficialThomas Brantley ArnauPresident · (843) 572-7727
Enumeration DateJune 6, 2006
Last NPPES UpdateJune 1, 20213 updates tracked since enumeration
NPPES CertifiedJune 1, 2021
✔ NPI 1184663007 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.

115 EXECUTIVE PKWY, Moncks Corner, SC 29461
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Other Identifiers 1

MedicaidGP2858SC

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.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) 42D0977791

Palmetto Primary Care Physicians Moncks Corner · Moncks Corner, SC
Active · expires May 28, 2027
CLIA Number42D0977791
Laboratory TypePhysician Office
Certificate Effective DateMay 29, 2025
Certificate Expiration DateMay 28, 2027
Laboratory DirectorEdward J. Jones MD
Laboratory Phone(843) 761-2815
Laboratory LocationPalmetto Primary Care Physicians Moncks Corner115 Executive Parkway, Moncks Corner, SC 29461
CLIA data matches this NPI record on: Address 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 2

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

CINDY L FIACCO PA
Physician Assistant
115 EXECUTIVE PKWY
MONCKS CORNER, SC 29461
Berkeley County (843) 761-2815
HAYDEN MCKENNEY PA-C
Family Medicine
115 EXECUTIVE PKWY
MONCKS CORNER, SC 29461
Berkeley County (843) 761-2815

Frequently Asked Questions

What is PALMETTO PRIMARY CARE PHYSICIANS, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1184663007, enumerated as an "organization" on June 06, 2006.

Where is the provider located?

The provider is located at 115 EXECUTIVE PKWY MONCKS CORNER, SC 29461 and the phone number is (843) 761-2815.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.

What insurance does PALMETTO PRIMARY CARE PHYSICIANS, LLC accept?

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.