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PALMETTO FAMILY MEDICINE AND SENIOR CARE, LLC
NPI 1194122598
Family Medicine in Hartsville, SC

Active since December 01, 2014CLIA 42D2016141 · Waiver
420 W CAROLINA AVE, HARTSVILLE, SC 29550(843) 917-4977(888) 854-0390 Get Directions Write a Review

NPPES record last updated: February 26, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Palmetto Family Medicine And Senior Care, Llc NPPES

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

PALMETTO FAMILY MEDICINE AND SENIOR CARE, LLC (NPI 1194122598) is a healthcare organization registered as a family medicine in Hartsville, South Carolina and active in the NPI registry since December 2014. The organization holds a CLIA Waiver certificate valid through December 31, 2026 and lists John C Ropp, Owner, as its authorized official.

NPPES Registry Identity

NPI1194122598
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePALMETTO FAMILY MEDICINE AND SENIOR CARE, LLC
Location Address420 W CAROLINA AVEHartsville, SC 29550-4524
Mailing Address420 W Carolina AveHartsville, SC 29550-4524 · (843) 917-4977 · Fax (843) 639-8145
Phone(843) 917-4977
Fax(888) 854-0390
Organization SubpartNo
Authorized OfficialJohn C RoppOwner · (843) 917-4977
Enumeration DateDecember 1, 2014
Last NPPES UpdateFebruary 26, 2018
✔ NPI 1194122598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SC · 23144
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.
420 W CAROLINA AVE, Hartsville, SC 29550
Open in Google Maps ↗

Other Identifiers 2

Medicaid231966SC
Medicaid231449SC

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Palmetto Family Medicine And Senior Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

54

Medicare enrollment records show 54 clinicians reassign Medicare billing to Palmetto Family Medicine And Senior Care, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Nurse Practitioner24
Family Practice23
Internal Medicine5
Pediatric Medicine2

Nearest to this location (20)

See all 54
William Long, MD
Family Practice
NPI 1104858489
420 W CAROLINA AVE
Hartsville, SC 29550
(843) 917-4977
✔ PECOS✔ Accepts MedicareSame address
John Ropp, M.D.
Family Practice
NPI 1922037191
420 W CAROLINA AVE
Hartsville, SC 29550
(843) 917-4977
✔ PECOS✔ Accepts MedicareSame address
Hallie King, FNP
Nurse Practitioner
NPI 1417411158
700 MEDICAL PARK DR
Hartsville, SC 29550
(843) 383-3742
✔ PECOS✔ Accepts Medicare2.0 mi
Steven Culp, MD
Family Practice
NPI 1013901925
1025 W MEETING ST SUITE 200
Lancaster, SC 29720
(803) 285-7414
✔ PECOS✔ Accepts Medicare47 mi
David Demby, FNP
Nurse Practitioner
NPI 1396285557
1025 W MEETING ST STE 200
Lancaster, SC 29720
(803) 285-7414
✔ PECOS✔ Accepts Medicare47 mi
Cassie Jenkins, FNP
Nurse Practitioner
NPI 1063989317
1025 W MEETING ST
Lancaster, SC 29720
(803) 285-7414
✔ PECOS✔ Accepts Medicare47 mi
Harley Kennington
Nurse Practitioner
NPI 1366269797
1025 W MEETING ST STE 200
Lancaster, SC 29720
(803) 285-7414
✔ PECOS✔ Accepts Medicare47 mi
Frank Sharp, MD
Family Practice
NPI 1801880711
1025 W MEETING ST SUITE 200
Lancaster, SC 29720
(803) 285-7414
✔ PECOS✔ Accepts Medicare47 mi
Keith Shealy, M.D.
Family Practice
NPI 1578557153
1025 W MEETING ST STE 200
Lancaster, SC 29720
(803) 285-7414
✔ PECOS✔ Accepts Medicare47 mi
Emily Young, APN
Nurse Practitioner
NPI 1215579040
1025 W MEETING ST STE 200
Lancaster, SC 29720
(803) 285-7414
✔ PECOS✔ Accepts Medicare47 mi
Kayce Hoover, NP-C
Nurse Practitioner
NPI 1821649989
8351 CHARLOTTE HWY STE 200
Indian Land, SC 29707
(803) 285-7414
✔ PECOS✔ Accepts Medicare59 mi
Susan Robinson, C-FNP
Nurse Practitioner
NPI 1053382267
8351 CHARLOTTE HWY STE 200
Indian Land, SC 29707
(803) 285-7414
✔ PECOS✔ Accepts Medicare59 mi
Temisan Etikerentse, MD
Internal Medicine
NPI 1710986757
110 EXECUTIVE PKWY
Moncks Corner, SC 29461
(843) 899-9099
✔ PECOS✔ Accepts Medicare81 mi
Chasidy Ward, APRN, FNP-C
Nurse Practitioner
NPI 1235755984
5023 CAROLINA FOREST BLVD
Myrtle Beach, SC 29579
(843) 497-5929
✔ PECOS✔ Accepts Medicare82 mi
Thomas Howard, M.D.
Family Practice
NPI 1609872803
11405 OCEAN HWY
Pawleys Island, SC 29585
(843) 979-4006
✔ PECOS✔ Accepts Medicare84 mi
Claudius Dawson, M.D.
Family Practice
NPI 1780675306
213 W 4TH NORTH ST
Summerville, SC 29483
(843) 873-0681
✔ PECOS✔ Accepts Medicare93 mi
Donald Hanna, M.D.
Family Practice
NPI 1689639072
100 SPRING HALL DR
Goose Creek, SC 29445
(843) 572-8201
✔ PECOS✔ Accepts Medicare94 mi
Corynne Boyer, D.O.
Internal Medicine
NPI 1912138983
110B SPRINGHALL DR
Goose Creek, SC 29445
(843) 491-9960
✔ PECOS✔ Accepts Medicare94 mi
Allen Jackson, MD
Internal Medicine
NPI 1902866965
8761 DORCHESTER RD STE 100
North Charleston, SC 29420
(843) 767-3323
✔ PECOS100 mi
Anna Pruitt, MD
Pediatric Medicine
NPI 1023057676
8761 DORCHESTER RD STE 100
North Charleston, SC 29420
(843) 747-4647
✔ PECOS100 mi
See all 54 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 42D2016141

Palmetto Family Medicine And Senior Care · Hartsville, SC
Active · expires Dec 31, 2026
CLIA Number42D2016141
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2025
Certificate Expiration DateDecember 31, 2026
Laboratory DirectorDr. John C. Ropp
Laboratory Phone(843) 917-4977
Laboratory LocationPalmetto Family Medicine And Senior Care420 West Carolina Avenue, Hartsville, SC 29550
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Family Medicine And Senior Care, LLC's NPI number?

The NPI number for Palmetto Family Medicine And Senior Care, LLC is 1194122598. It was assigned to this organization in the NPPES registry on December 1, 2014.

Where is Palmetto Family Medicine And Senior Care, LLC located?

Palmetto Family Medicine And Senior Care, LLC is located at 420 W Carolina Ave, Hartsville, SC 29550. The listed phone number is (843) 917-4977.

What is Palmetto Family Medicine And Senior Care, LLC's specialty?

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

Is Palmetto Family Medicine And Senior Care, LLC enrolled in Medicare?

Yes. Palmetto Family Medicine And Senior Care, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Palmetto Family Medicine And Senior Care, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 54 clinicians in 4 Medicare specialties reassign their Medicare billing to Palmetto Family Medicine And Senior Care, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (24), Family Practice (23) and Internal Medicine (5). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Palmetto Family Medicine And Senior Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2016141) is associated with this NPI, valid through December 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Palmetto Family Medicine And Senior Care, LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Molina Healthcare list Palmetto Family Medicine And Senior Care, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Palmetto Family Medicine And Senior Care, LLC was last updated on February 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.