PALMETTO ADVANCED MOBILE WOUND CARE PC
NPI 1407709595
Nurse Practitioner - Family in Columbia, SC

Active since February 18, 2026
1122 LADY ST, FL 3, COLUMBIA, SC 29201(864) 934-8326 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Palmetto Advanced Mobile Wound Care Pc NPPES

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

PALMETTO ADVANCED MOBILE WOUND CARE PC (NPI 1407709595) is a healthcare organization registered as a family in Columbia, South Carolina and active in the NPI registry since February 2026. The organization lists Jennifer Rice, Owner, as its authorized official.

NPPES Registry Identity

NPI1407709595
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePALMETTO ADVANCED MOBILE WOUND CARE PC
Location Address1122 LADY ST, FL 3Columbia, SC 29201-3491
Mailing Address1122 Lady St Fl 3Columbia, SC 29201-3491 · (864) 934-8326
Organization SubpartNo
Authorized OfficialJennifer RiceOwner · (864) 934-8326
Enumeration DateFebruary 18, 2026
Last NPPES UpdateMarch 13, 2026
NPPES CertifiedMarch 13, 2026
✔ NPI 1407709595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1122 LADY ST, Columbia, SC 29201

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Advanced Mobile Wound Care Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Palmetto Advanced Mobile Wound Care PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1063690907
1122 LADY ST FL 3
Columbia, SC 29201
(803) 805-7585
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1831950773
1333 TAYLOR ST STE 1B
Columbia, SC 29201
(803) 434-6838
✔ PECOS✔ Accepts Medicare0.4 mi
Emergency Medicine
NPI 1225064140
111 DOCTOR CIR
Columbia, SC 29203
(800) 491-0909
✔ PECOS✔ Accepts Medicare2.0 mi
Nurse Practitioner
NPI 1659014751
9600 TWO NOTCH RD STE 5
Columbia, SC 29223
(769) 243-6141
✔ PECOS✔ Accepts Medicare9.9 mi

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

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 Advanced Mobile Wound Care PC's NPI number?

The NPI number for Palmetto Advanced Mobile Wound Care PC is 1407709595. It was assigned to this organization in the NPPES registry on February 18, 2026.

Where is Palmetto Advanced Mobile Wound Care PC located?

Palmetto Advanced Mobile Wound Care PC is located at 1122 Lady St Fl 3, Columbia, SC 29201. The listed phone number is (864) 934-8326.

What is Palmetto Advanced Mobile Wound Care PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Palmetto Advanced Mobile Wound Care PC enrolled in Medicare?

Yes. Palmetto Advanced Mobile Wound Care PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Palmetto Advanced Mobile Wound Care PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Palmetto Advanced Mobile Wound Care PC. 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 (3) and Emergency Medicine (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Palmetto Advanced Mobile Wound Care PC was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.