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PALMETTO PEDIATRIC
NPI 1457361669
Pediatrics in Columbia, SC

Active since August 09, 2006CLIA 42D0955309 · Certificate of Compliance
74 POLO RD, COLUMBIA, SC 29223(803) 788-6146(803) 462-0312 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Palmetto Pediatric NPPES

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

PALMETTO PEDIATRIC (NPI 1457361669) is a healthcare organization registered as a pediatrics in Columbia, South Carolina and active in the NPI registry since August 2006. The organization holds a CLIA Certificate of Compliance certificate valid through February 23, 2028 and lists Nancy J Hart, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1457361669
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePALMETTO PEDIATRIC
Location Address74 POLO RDColumbia, SC 29223-2806
Mailing Address74 Polo RdColumbia, SC 29223-2806 · (803) 788-6146 · Fax (803) 462-0312
Phone(803) 788-6146
Fax(803) 462-0312
Organization SubpartNo
Authorized OfficialNancy J HartPractice Manager · (803) 788-6146
Enumeration DateAugust 9, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1457361669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
74 POLO RD, Columbia, SC 29223
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Other Identifiers 1

MedicaidGP0803SC

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 Compliance 42D0955309

Palmetto Pediatric & Adolescent Clinic · Lexington, SC
Active · expires Feb 23, 2028
CLIA Number42D0955309
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2026
Certificate Expiration DateFebruary 23, 2028
Laboratory DirectorJames Dewar
Laboratory Phone(803) 788-6146
Laboratory LocationPalmetto Pediatric & Adolescent Clinic1970 Augusta Hwy, Lexington, SC 29072
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

MISS LATONYA N BROWN FNP
Nurse Practitioner (Family)
74 POLO RD
COLUMBIA, SC 29223
Richland County (803) 865-9655
LAGNIAPPE MEDICAL CLINICS, LLC
Family Medicine
74 POLO RD
COLUMBIA, SC 29223
Richland County (803) 419-7780
74 POLO ROAD, LLC
Clinic/Center (Multi-Specialty)
74 POLO RD
COLUMBIA, SC 29223
Richland County (803) 419-7780
CROCODILE PHARMACY SERVICES, LLC
Internal Medicine
74 POLO RD
COLUMBIA, SC 29223
Richland County (480) 235-7788
DR. DAMON DANIELS MD,MPH
Family Medicine
74 POLO RD
COLUMBIA, SC 29223
Richland County (803) 865-9655
UNITY MEDICAL & WELLNESS, LLC
Internal Medicine
74 POLO RD
COLUMBIA, SC 29223
Richland County (803) 419-7780
DR. TERESA N BAGGETT MD
Pediatrics
74 POLO RD
COLUMBIA, SC 29223
Richland County (803) 788-6146
DANIELA MURPHY PA-C
Physician Assistant
74 POLO RD
COLUMBIA, SC 29223
Richland County (954) 232-1923

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 Pediatric's NPI number?

The NPI number for Palmetto Pediatric is 1457361669. It was assigned to this organization in the NPPES registry on August 9, 2006.

Where is Palmetto Pediatric located?

Palmetto Pediatric is located at 74 Polo Rd, Columbia, SC 29223. The listed phone number is (803) 788-6146.

What is Palmetto Pediatric's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Palmetto Pediatric hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 42D0955309) is associated with this NPI, valid through February 23, 2028. 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 Pediatric 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.