SOUTHERN PALMETTO PRIMARY CARE LLC
NPI 1700523347
Nurse Practitioner - Family in Great Falls, SC

Active since May 16, 2022
503 CHESTER AVE STE C, GREAT FALLS, SC 29055(803) 482-5904 Get Directions Write a Review

NPPES record last updated: May 16, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southern Palmetto Primary Care Llc NPPES

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

SOUTHERN PALMETTO PRIMARY CARE LLC (NPI 1700523347) is a healthcare organization registered as a family in Great Falls, South Carolina and active in the NPI registry since May 2022. The organization lists Kristina Starnes, Owner, as its authorized official.

NPPES Registry Identity

NPI1700523347
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSOUTHERN PALMETTO PRIMARY CARE LLC
Location Address503 CHESTER AVE STE CGreat Falls, SC 29055-1207
Mailing Address503 Chester Ave Ste CGreat Falls, SC 29055-1207
Organization SubpartNo
Authorized OfficialKristina StarnesOwner · (803) 287-7019
Enumeration DateMay 16, 2022
NPPES CertifiedMay 16, 2022
NPI 1700523347 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
503 CHESTER AVE STE C, Great Falls, SC 29055

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

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 42D2266021

Southern Palmetto Primary Care · Great Falls, SC
Expired · Aug 3, 2026
CLIA Number42D2266021
Laboratory TypePhysician Office
Certificate Effective DateAugust 4, 2024
Certificate Expiration DateAugust 3, 2026
Laboratory DirectorMs. Kristie Starnes
Laboratory Phone(803) 482-5904
Laboratory LocationSouthern Palmetto Primary Care503 Chester Avenue, Suite C, Great Falls, SC 29055
CLIA data matches this NPI record on: Address Name Phone
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 Southern Palmetto Primary Care LLC's NPI number?

The NPI number for Southern Palmetto Primary Care LLC is 1700523347. It was assigned to this organization in the NPPES registry on May 16, 2022.

Where is Southern Palmetto Primary Care LLC located?

Southern Palmetto Primary Care LLC is located at 503 Chester Ave Ste C, Great Falls, SC 29055. The listed phone number is (803) 482-5904.

What is Southern Palmetto Primary Care LLC's specialty?

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

What insurance does Southern Palmetto Primary Care LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Molina Healthcare list Southern Palmetto Primary Care 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 Southern Palmetto Primary Care LLC was last updated on May 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.