PALMETTO ADULT AND CHILDRENS UROLOGY PA
NPI 1467440644
Urology in North Charleston, SC
About Palmetto Adult And Childrens Urology Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PALMETTO ADULT AND CHILDRENS UROLOGY PA (NPI 1467440644) is a healthcare organization registered as an urology in North Charleston, South Carolina and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through November 11, 2027, maintains 3 additional practice locations, and lists Amelia Munkberg, Practice Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Other Identifiers 2
Group Practice 1
Accepted 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 Adult And Childrens Urology Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Palmetto Adult And Childrens Urology PA, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
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 42D2104778
Palmetto Adult And Childrens Urology · Summerville, SCFrequently 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 Adult And Childrens Urology PA's NPI number?
The NPI number for Palmetto Adult And Childrens Urology PA is 1467440644. It was assigned to this organization in the NPPES registry on October 11, 2005.
Where is Palmetto Adult And Childrens Urology PA located?
Palmetto Adult And Childrens Urology PA is located at 2890 Tricom St, North Charleston, SC 29406. The listed phone number is (843) 797-6600.
What is Palmetto Adult And Childrens Urology PA's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Palmetto Adult And Childrens Urology PA enrolled in Medicare?
Yes. Palmetto Adult And Childrens Urology PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Palmetto Adult And Childrens Urology PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Palmetto Adult And Childrens Urology PA. 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 Urology (6), Nurse Practitioner (1) and Pathology (1). Of these, 5 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Palmetto Adult And Childrens Urology PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 42D2104778) is associated with this NPI, valid through November 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Palmetto Adult And Childrens Urology PA accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Molina Healthcare list Palmetto Adult And Childrens Urology PA 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 Adult And Childrens Urology PA was last updated on April 20, 2021. 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.
# Palmetto Adult And Childrens Urology Pa · NPI 1467440644
Urology organization in North Charleston, South Carolina. Organization record, active in the CMS NPPES registry since October 11, 2005.
## Identity
- **NPI:** 1467440644 (Entity type: Organization)
- **Enumerated:** October 11, 2005
- **Primary specialty:** Urology · taxonomy 208800000X
- **Organization subpart:** No
- **Authorized official:** Amelia Munkberg, PRACTICE ADMINISTRATOR
## Practice location
- **Address:** 2890 TRICOM ST, North Charleston, SC 29406-9171
- **Phone:** (843) 797-6600 · **Fax:** (843) 820-1440
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Urology (6), Nurse Practitioner (1), Pathology (1); 5 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 20, 2021
- **Other identifiers:** Other 7026 (SC); Medicaid GP4871 (SC)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1467440644) · Data from the CMS NPPES public registry.