THE PALMETTO PALACE
NPI 1851939748
General Practice in Allendale, SC

Active since December 11, 2019CLIA 42D2176045 · Waiver
217 FLAT ST E, ALLENDALE, SC 29810(843) 532-3169 Get Directions Write a Review

NPPES record last updated: December 11, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About The Palmetto Palace NPPES

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

THE PALMETTO PALACE (NPI 1851939748) is a healthcare organization registered as a general practice in Allendale, South Carolina and active in the NPI registry since December 2019. The organization holds a CLIA Waiver certificate valid through December 5, 2027, maintains a secondary practice location in North Charleston, and lists Youlanda Gibbs, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1851939748
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameTHE PALMETTO PALACE
Location Address217 FLAT ST EAllendale, SC 29810-4647
Mailing AddressPo Box 21076Charleston, SC 29413-1076
Organization SubpartNo
Authorized OfficialYoulanda GibbsExecutive Director · (843) 532-3169
Enumeration DateDecember 11, 2019
NPI 1851939748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
217 FLAT ST E, Allendale, SC 29810

Secondary Practice Location 1

Location 12800 Carner AveNorth Charleston, SC 29405-8026 · Phone (843) 532-3169

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

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 42D2176045

The Palmetto Palace Mobile Health Unit · North Charleston, SC
Active · expires Dec 5, 2027
CLIA Number42D2176045
Laboratory TypeMobile Laboratory
Certificate Effective DateDecember 6, 2025
Certificate Expiration DateDecember 5, 2027
Laboratory DirectorYoulanda C. Gibbs
Laboratory Phone(843) 532-3169
Laboratory LocationThe Palmetto Palace Mobile Health Unit6265 Dorchester Road North Charleston Fire Station Five, North Charleston, SC 29418
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Rural Health)
217 FLAT ST E
ALLENDALE, SC 29810

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 The Palmetto Palace's NPI number?

The NPI number for The Palmetto Palace is 1851939748. It was assigned to this organization in the NPPES registry on December 11, 2019.

Where is The Palmetto Palace located?

The Palmetto Palace is located at 217 Flat St E, Allendale, SC 29810. The listed phone number is (843) 532-3169.

What is The Palmetto Palace's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does The Palmetto Palace hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2176045) is associated with this NPI, valid through December 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for The Palmetto Palace was last updated on December 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.