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PALMETTO EXPRESS CLINIC, LLC
NPI 1376055038
Nurse Practitioner - Primary Care in Murrells Inlet, SC

Active since November 02, 2017CLIA 42D2141287 · Waiver
4959 HWY 17 BYPASS, UNIT B- BRAVA HEALTH & MEDSPA, MURRELLS INLET, SC 29576(843) 750-0324(855) 798-0107 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 23, 2024, May 16, 2019, Nov 2, 2017 (3 updates tracked since 2017).

About Palmetto Express Clinic, Llc NPPES

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

PALMETTO EXPRESS CLINIC, LLC (NPI 1376055038) is a healthcare organization registered as a primary care in Murrells Inlet, South Carolina and active in the NPI registry since November 2017. The organization holds a CLIA Waiver certificate valid through December 11, 2027 and lists Brandy Van Heyde, Owner, as its authorized official.

NPPES Registry Identity

NPI1376055038
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NamePALMETTO EXPRESS CLINIC, LLC
Location Address4959 HWY 17 BYPASS, UNIT B- BRAVA HEALTH & MEDSPAMurrells Inlet, SC 29576
Mailing Address4959 Hwy 17 Bypass, Unit B- Brava Health & MedspaMurrells Inlet, SC 29576 · (843) 750-0324 · Fax (855) 798-0107
Phone(843) 750-0324
Fax(855) 798-0107
Organization SubpartNo
Authorized OfficialBrandy Van HeydeOwner · (843) 750-0324
Enumeration DateNovember 2, 2017
Last NPPES UpdateSeptember 23, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2024
✔ NPI 1376055038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
4959 HWY 17 BYPASS, Murrells Inlet, SC 29576
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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 42D2141287

Palmetto Express Clinic, LLC · Murrells Inlet, SC
Active · expires Dec 11, 2027
CLIA Number42D2141287
Laboratory TypePractitioner Other
Certificate Effective DateDecember 12, 2025
Certificate Expiration DateDecember 11, 2027
Laboratory DirectorBrandy P. Van Heyde
Laboratory Phone(713) 876-4559
Laboratory LocationPalmetto Express Clinic, LLC4959 Hwy 17, Unit B, Murrells Inlet, SC 29576
CLIA data matches this NPI record on: Name
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 Express Clinic, LLC's NPI number?

The NPI number for Palmetto Express Clinic, LLC is 1376055038. It was assigned to this organization in the NPPES registry on November 2, 2017.

Where is Palmetto Express Clinic, LLC located?

Palmetto Express Clinic, LLC is located at 4959 Hwy 17 Bypass Unit B- Brava Health & Medspa, Murrells Inlet, SC 29576. The listed phone number is (843) 750-0324.

What is Palmetto Express Clinic, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Palmetto Express Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2141287) is associated with this NPI, valid through December 11, 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 Express Clinic, LLC was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.