PALMETTO UROLOGICAL PA
NPI 1184669376
Specialist in Greenville, SC

Active since June 19, 2006
11 PARK CREEK DR, GREENVILLE, SC 29605(864) 242-1220 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Palmetto Urological Pa NPPES

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

PALMETTO UROLOGICAL PA (NPI 1184669376) is a healthcare organization registered as a specialist in Greenville, South Carolina and active in the NPI registry since June 2006. The organization lists Jennifer L Mitchell, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1184669376
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePALMETTO UROLOGICAL PA
Location Address11 PARK CREEK DRGreenville, SC 29605-4270
Mailing Address11 Park Creek DrGreenville, SC 29605-4270 · (864) 242-1220
Organization SubpartNo
Authorized OfficialJennifer L MitchellOffice Manager · (864) 244-1220
Enumeration DateJune 19, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1184669376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
11 PARK CREEK DR, Greenville, SC 29605

Other Identifiers 1

MedicaidPA0784-PASC

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

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.

Specialist
11 PARK CREEK DR
GREENVILLE, SC 29605
Orthopaedic Surgery (Sports Medicine)
11 PARK CREEK DR
GREENVILLE, SC 29605
Physician Assistant
11 PARK CREEK DR
GREENVILLE, SC 29605
Orthopaedic Surgery (Sports Medicine)
11 PARK CREEK DR
GREENVILLE, SC 29605
Orthopaedic Surgery
11 PARK CREEK DR
GREENVILLE, SC 29605
Orthopaedic Surgery (Sports Medicine)
11 PARK CREEK DR
GREENVILLE, SC 29605
Physician Assistant
11 PARK CREEK DR
GREENVILLE, SC 29605
Physician Assistant
11 PARK CREEK DR
GREENVILLE, SC 29605

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 Urological PA's NPI number?

The NPI number for Palmetto Urological PA is 1184669376. It was assigned to this organization in the NPPES registry on June 19, 2006.

Where is Palmetto Urological PA located?

Palmetto Urological PA is located at 11 Park Creek Dr, Greenville, SC 29605. The listed phone number is (864) 242-1220.

What is Palmetto Urological PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Palmetto Urological PA was last updated on August 22, 2020. 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.