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PALMETTO PRIMARY CARE PHYSICIANS, LLC
NPI 1659311165
Family Medicine in Bonneau, SC

Active since June 07, 2006CLIA 42D0956814 · Microscopy
1401 MAIN ST, BONNEAU, SC 29431(843) 825-3404(843) 825-3407 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 29, 2026, Jun 1, 2021, May 27, 2021 and 1 more (4 updates tracked since 2016).

About Palmetto Primary Care Physicians, Llc NPPES

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

PALMETTO PRIMARY CARE PHYSICIANS, LLC (NPI 1659311165) is a healthcare organization registered as a family medicine in Bonneau, South Carolina and active in the NPI registry since June 2006. The organization holds a CLIA Microscopy certificate valid through February 4, 2027 and lists Terry Cunningham, Ceo, as its authorized official.

NPPES Registry Identity

NPI1659311165
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePALMETTO PRIMARY CARE PHYSICIANS, LLC
Location Address1401 MAIN STBonneau, SC 29431-5022
Mailing AddressPo Box 530062Atlanta, GA 30353-0062 · (843) 825-3404 · Fax (843) 825-3407
Phone(843) 825-3404
Fax(843) 825-3407
Organization SubpartNo
Authorized OfficialTerry CunninghamCeo · (843) 572-7727
Enumeration DateJune 7, 2006
Last NPPES UpdateMay 29, 20264 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
✔ NPI 1659311165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedNutritionist · Nutrition, EducationTaxonomy 133NN1002X
1401 MAIN ST, Bonneau, SC 29431
Open in Google Maps ↗

Other Identifiers 2

MedicaidGP3659SC
OtherDPE076SC · Medicaid Diabetes Edu

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

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 for Provider-Performed Microscopy Procedures (PPMP) 42D0956814

Palmetto Primary Care · Bonneau, SC
Active · expires Feb 4, 2027
CLIA Number42D0956814
Laboratory TypePhysician Office
Certificate Effective DateFebruary 5, 2025
Certificate Expiration DateFebruary 4, 2027
Laboratory DirectorDr. David P. Rodgers
Laboratory Phone(843) 825-3404
Laboratory LocationPalmetto Primary Care1401 Main Street, Bonneau, SC 29431
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

MS. KELLY M BISTLINE APRN
Nurse Practitioner (Family)
1401 MAIN ST
BONNEAU, SC 29431
Berkeley County (843) 825-3404
DAVID PAUL RODGERS MD
Family Medicine
1401 MAIN ST
BONNEAU, SC 29431
Berkeley County (843) 825-3404

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 Primary Care Physicians, LLC's NPI number?

The NPI number for Palmetto Primary Care Physicians, LLC is 1659311165. It was assigned to this organization in the NPPES registry on June 7, 2006.

Where is Palmetto Primary Care Physicians, LLC located?

Palmetto Primary Care Physicians, LLC is located at 1401 Main St, Bonneau, SC 29431. The listed phone number is (843) 825-3404.

What is Palmetto Primary Care Physicians, LLC's specialty?

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

Does Palmetto Primary Care Physicians, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 42D0956814) is associated with this NPI, valid through February 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Palmetto Primary Care Physicians, LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Palmetto Primary Care Physicians, LLC 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 Primary Care Physicians, LLC was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.