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PALMETTO DIGESTIVE DISEASE PA
NPI 1922057843
Specialist in Charleston, SC

Active since May 08, 2006CLIA 42D0942418 · Certificate of Compliance
2073 CHARLIE HALL BLVD, CHARLESTON, SC 29414(843) 571-0643(843) 377-0499 Get Directions Write a Review

NPPES record last updated: May 14, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Palmetto Digestive Disease Pa NPPES

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

PALMETTO DIGESTIVE DISEASE PA (NPI 1922057843) is a healthcare organization registered as a specialist in Charleston, South Carolina and active in the NPI registry since May 2006. The organization holds a CLIA Certificate of Compliance certificate valid through April 29, 2028, maintains 3 additional practice locations, and lists Sonya Wyatt, Ceo, as its authorized official.

NPPES Registry Identity

NPI1922057843
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePALMETTO DIGESTIVE DISEASE PA
Location Address2073 CHARLIE HALL BLVDCharleston, SC 29414-5834
Mailing Address2073 Charlie Hall BlvdCharleston, SC 29414-5834 · (843) 571-0643 · Fax (843) 377-0499
Phone(843) 571-0643
Fax(843) 377-0499
Organization SubpartNo
Authorized OfficialSonya WyattCeo · (843) 571-0643
Enumeration DateMay 8, 2006
Last NPPES UpdateMay 14, 2020
NPPES CertifiedMay 14, 2020
✔ NPI 1922057843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2073 CHARLIE HALL BLVD, Charleston, SC 29414
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Secondary Practice Locations 3

Location 12061 Highway 52Moncks Corner, SC 29461-5017 · Phone (843) 571-0643
Location 23510 Highway 17 Byp N Ste 325Mount Pleasant, SC 29466-8232 · Phone (843) 571-0643
Location 3300 Callen Blvd Ste 220Summerville, SC 29486-2809 · Phone (843) 571-0643

Other Identifiers 1

MedicaidGP0775SC

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 of Compliance 42D0942418

Palmetto Digestive Disease, PA · Charleston, SC
Active · expires Apr 29, 2028
CLIA Number42D0942418
Laboratory TypePhysician Office
Certificate Effective DateApril 30, 2026
Certificate Expiration DateApril 29, 2028
Laboratory DirectorDr. Weijian Zhu
Laboratory Phone(843) 571-0643
Laboratory LocationPalmetto Digestive Disease, PA2073 Charlie Hall Blvd, Charleston, SC 29414
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 12

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

MRS. MARY RYAN MELIN F.N.P.
Nurse Practitioner (Family)
2073 CHARLIE HALL BLVD
CHARLESTON, SC 29414
Charleston County (843) 571-0643
ANNE RYAN MCGUINNESS PA-C
Physician Assistant
2073 CHARLIE HALL BLVD
CHARLESTON, SC 29414
Charleston County (843) 571-0643
ERICA CRAWFORD
Nurse Practitioner (Family)
2073 CHARLIE HALL BLVD
CHARLESTON, SC 29414
Charleston County (843) 571-0643
PALMETTO ENDOSCOPY CENTER LLC
Clinic/Center (Ambulatory Surgical)
2073 CHARLIE HALL BLVD
CHARLESTON, SC 29414
Charleston County (843) 571-0643
HAILY VORA MD
Internal Medicine (Gastroenterology)
2073 CHARLIE HALL BLVD
CHARLESTON, SC 29414
Charleston County (843) 571-0643
ALEJANDRO LEE SUAREZ M.D.
Internal Medicine (Gastroenterology)
2073 CHARLIE HALL BLVD
CHARLESTON, SC 29414
Charleston County (843) 571-0643
DR. DEREK JOHN FEUSSNER M.D.
Internal Medicine (Gastroenterology)
2073 CHARLIE HALL BLVD
CHARLESTON, SC 29414
Charleston County (843) 571-0643
DR. LORI ALLISON ROBBINS M.D.
Internal Medicine (Gastroenterology)
2073 CHARLIE HALL BLVD
CHARLESTON, SC 29414
Charleston County (843) 571-0643

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 Digestive Disease PA's NPI number?

The NPI number for Palmetto Digestive Disease PA is 1922057843. It was assigned to this organization in the NPPES registry on May 8, 2006.

Where is Palmetto Digestive Disease PA located?

Palmetto Digestive Disease PA is located at 2073 Charlie Hall Blvd, Charleston, SC 29414. The listed phone number is (843) 571-0643.

What is Palmetto Digestive Disease PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Palmetto Digestive Disease PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 42D0942418) is associated with this NPI, valid through April 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Palmetto Digestive Disease 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 Digestive Disease 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 Digestive Disease PA was last updated on May 14, 2020. 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.