PALMETTO PRIMARY HEALTHCARE PLLC
NPI 1679274765
Nurse Practitioner - Family in Lumberton, NC

Active since March 15, 2023CLIA 34D2282119 · Waiver
4850 FAYETTEVILLE RD STE G, LUMBERTON, NC 28358(910) 316-1468 Get Directions Write a Review

NPPES record last updated: March 15, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Palmetto Primary Healthcare Pllc NPPES

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

PALMETTO PRIMARY HEALTHCARE PLLC (NPI 1679274765) is a healthcare organization registered as a family in Lumberton, North Carolina and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through May 16, 2027 and lists Gina Marie Whritenour, Np, as its authorized official.

NPPES Registry Identity

NPI1679274765
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePALMETTO PRIMARY HEALTHCARE PLLC
Location Address4850 FAYETTEVILLE RD STE GLumberton, NC 28358-2374
Mailing Address4850 Fayetteville Rd Ste GLumberton, NC 28358-2374 · (910) 316-1468
Organization SubpartNo
Authorized OfficialGina Marie WhritenourNp · (910) 316-1468
Enumeration DateMarch 15, 2023
NPPES CertifiedMarch 15, 2023
✔ NPI 1679274765 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
4850 FAYETTEVILLE RD STE G, Lumberton, NC 28358

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

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 Primary Healthcare Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Palmetto Primary Healthcare PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1003528993
4850 FAYETTEVILLE RD STE G
Lumberton, NC 28358
(910) 407-8545
✔ PECOS✔ Accepts MedicareSame address

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 34D2282119

Palmetto Primary Healthcare, PLLC · Lumberton, NC
Active · expires May 16, 2027
CLIA Number34D2282119
Laboratory TypePhysician Office
Certificate Effective DateMay 17, 2025
Certificate Expiration DateMay 16, 2027
Laboratory DirectorGina Marie Whritenour
Laboratory Phone(910) 338-2222
Laboratory LocationPalmetto Primary Healthcare, PLLC4850 Fayetteville Rd. Suite G, Lumberton, NC 28358
CLIA data matches this NPI record on: Address 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 Primary Healthcare PLLC's NPI number?

The NPI number for Palmetto Primary Healthcare PLLC is 1679274765. It was assigned to this organization in the NPPES registry on March 15, 2023.

Where is Palmetto Primary Healthcare PLLC located?

Palmetto Primary Healthcare PLLC is located at 4850 Fayetteville Rd Ste G, Lumberton, NC 28358. The listed phone number is (910) 316-1468.

What is Palmetto Primary Healthcare PLLC's specialty?

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

Is Palmetto Primary Healthcare PLLC enrolled in Medicare?

Yes. Palmetto Primary Healthcare PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Palmetto Primary Healthcare PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Palmetto Primary Healthcare PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Palmetto Primary Healthcare PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2282119) is associated with this NPI, valid through May 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Palmetto Primary Healthcare PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Palmetto Primary Healthcare PLLC 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 Healthcare PLLC was last updated on March 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.