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PALMETTO PEDIATRICS, PA
NPI 1861560765
Pediatrics in North Charleston, SC

Active since December 01, 2006CLIA 42D0250972 · Microscopy
2781 TRICOM ST, NORTH CHARLESTON, SC 29406(843) 797-5600 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Palmetto Pediatrics, Pa NPPES

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

PALMETTO PEDIATRICS, PA (NPI 1861560765) is a healthcare organization registered as a pediatrics in North Charleston, South Carolina and active in the NPI registry since December 2006. The organization holds a CLIA Microscopy certificate valid through February 26, 2027 and lists Sharon Chodnicki, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1861560765
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePALMETTO PEDIATRICS, PA
Location Address2781 TRICOM STNorth Charleston, SC 29406-9170
Mailing Address2781 Tricom StNorth Charleston, SC 29406-9170 · (843) 797-5600
Phone(843) 797-5600
Organization SubpartNo
Authorized OfficialSharon ChodnickiPractice Manager · (843) 797-5600
Enumeration DateDecember 1, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1861560765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2781 TRICOM ST, North Charleston, SC 29406
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Other Identifiers 1

MedicaidGP0233SC

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

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) 42D0250972

Palmetto Pediatrics PA · Charleston, SC
Active · expires Feb 26, 2027
CLIA Number42D0250972
Laboratory TypePhysician Office
Certificate Effective DateFebruary 27, 2025
Certificate Expiration DateFebruary 26, 2027
Laboratory DirectorJ Bruce Etheridge MD
Laboratory Phone(843) 797-5600
Laboratory LocationPalmetto Pediatrics PA2781 Tricom St, Charleston, SC 29406
CLIA data matches this NPI record on: 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 4

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

MISS LAUREN T HOLDER PA
Physician Assistant (Medical)
2781 TRICOM ST
NORTH CHARLESTON, SC 29406
Charleston County (843) 797-5600
PHILIP K. LOWE MD
Pediatrics
2781 TRICOM ST, PALMETTO PEDIATRICS, PA
CHARLESTON, SC 29406
Charleston County (843) 797-5600
MS. JENNIFER ANN NORDBY M.D.
Pediatrics
2781 TRICOM ST, PALMETTO PEDIATRICS, PA
NORTH CHARLESTON, SC 29406
Charleston County (843) 797-5600
MRS. JENNIFER M GRAVES PA-C
Physician Assistant (Medical)
2781 TRICOM ST, PALMETTO PEDIATRICS, PA
CHARLESTON, SC 29406
Charleston County (843) 797-5600

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 Pediatrics, PA's NPI number?

The NPI number for Palmetto Pediatrics, PA is 1861560765. It was assigned to this organization in the NPPES registry on December 1, 2006.

Where is Palmetto Pediatrics, PA located?

Palmetto Pediatrics, PA is located at 2781 Tricom St, North Charleston, SC 29406. The listed phone number is (843) 797-5600.

What is Palmetto Pediatrics, PA's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Palmetto Pediatrics, PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 42D0250972) is associated with this NPI, valid through February 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Palmetto Pediatrics, PA 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 Pediatrics, 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 Pediatrics, PA was last updated on August 22, 2020. 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.