IRMO FAMILY PRACTICE
NPI 1205867785
Family Medicine in Columbia, SC

Q: What is Palmetto Health's NPI number?

The NPI number for Palmetto Health is 1205867785. It was assigned to this organization in the NPPES registry on July 5, 2006. The provider is doing business as Irmo Family Practice.

Q: What is Palmetto Health's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Palmetto Health was last updated on December 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since July 05, 2006CLIA 42D2072060 · Accreditation

190 PARKRIDGE DR, SUITE 220, COLUMBIA, SC 29212(803) 296-7304(803) 296-7329 Get Directions Write a Review

NPPES record last updated: December 27, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Irmo Family Practice NPPES

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

IRMO FAMILY PRACTICE (NPI 1205867785) is a healthcare organization registered as a family medicine in Columbia, South Carolina and active in the NPI registry since July 2006. The organization holds an CLIA Accreditation certificate valid through September 29, 2027 and lists Darrell C Coven, Director Of Business Dev., Finance, as its authorized official.

NPPES Registry Identity

NPI1205867785

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePALMETTO HEALTH

Location Address190 PARKRIDGE DR, SUITE 220Columbia, SC 29212-1747

Mailing AddressPo Box 402145Atlanta, GA 30384-2145 · (803) 296-7313 · Fax (803) 296-7330

Phone(803) 296-7304

Fax(803) 296-7329

Organization SubpartYes

Authorized OfficialDarrell C CovenDirector Of Business Dev., Finance · (803) 296-7301

Enumeration DateJuly 5, 2006

Last NPPES UpdateDecember 27, 2007

✔ NPI 1205867785 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.

190 PARKRIDGE DR, Columbia, SC 29212

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Other Names 1

Doing Business AsIrmo Family Practice

Other Identifiers 2

Medicare PIN7790SC

MedicaidGP3809SC

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 Accreditation 42D2072060

Palmetto Health Baptist Parkridge · Columbia, SC

Active · expires Sep 29, 2027

CLIA Number42D2072060

Laboratory TypeHospital

Certificate Effective DateSeptember 30, 2025

Certificate Expiration DateSeptember 29, 2027

Laboratory DirectorDr. Mark Mayson

Laboratory Phone(803) 907-2134

Laboratory LocationPalmetto Health Baptist Parkridge400 Palmetto Health Parkway Respiratory Therapy, Columbia, SC 29212

CLIA data matches this NPI record on: Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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.

COLUMBIA ASC NORTHWEST LLC

Clinic/Center (Ambulatory Surgical)

190 PARKRIDGE DR, SUITE 100
COLUMBIA, SC 29212

Lexington County (803) 407-6767

PALMETTO HEALTH

Family Medicine

190 PARKRIDGE DR, SUITE 250
COLUMBIA, SC 29212

Lexington County (803) 296-7304

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 Health's NPI number?

The NPI number for Palmetto Health is 1205867785. It was assigned to this organization in the NPPES registry on July 5, 2006. The provider is doing business as Irmo Family Practice.

Where is Palmetto Health located?

Palmetto Health is located at 190 Parkridge Dr Suite 220, Columbia, SC 29212. The listed phone number is (803) 296-7304.

What is Palmetto Health's specialty?

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

Does Palmetto Health hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 42D2072060) is associated with this NPI, valid through September 29, 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 Health was last updated on December 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.