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: October 18, 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
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

Secondary Practice Locations 3

Location 1300 Callen Blvd Ste 220Summerville, SC 29486-2809 · Phone (843) 571-0643
Location 22061 Highway 52Moncks Corner, SC 29461-5017 · Phone (843) 571-0643
Location 33510 Highway 17 Byp N Ste 325Mount Pleasant, SC 29466-8232 · 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

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 Digestive Disease Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

26

Medicare enrollment records show 26 clinicians reassign Medicare billing to Palmetto Digestive Disease PA, which bills Medicare for the services they deliver. Of these, 9 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Anesthesiology15
Gastroenterology8
Nurse Practitioner2
Pathology1

Nearest to this location (20)

See all 26
Gastroenterology
NPI 1396004479
2073 CHARLIE HALL BLVD
Charleston, SC 29414
(843) 571-0643
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1730329533
2073 CHARLIE HALL BLVD
Charleston, SC 29414
(843) 571-0643
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1629417761
2073 CHARLIE HALL BLVD
Charleston, SC 29414
(843) 571-0643
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1962452367
2073 CHARLIE HALL BLVD
Charleston, SC 29414
(843) 571-0643
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1679523070
2073 CHARLIE HALL BLVD
Charleston, SC 29414
(843) 571-0643
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1386936110
2073 CHARLIE HALL BLVD
Charleston, SC 29414
(843) 571-0643
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1386139178
2073 CHARLIE HALL BLVD
Charleston, SC 29414
(843) 571-0643
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1275460107
2073 CHARLIE HALL BLVD
Charleston, SC 29414
(843) 571-0643
✔ PECOSSame address
Nurse Practitioner
NPI 1023444767
2073 CHARLIE HALL BLVD
Charleston, SC 29414
(843) 571-0643
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1740257450
9263 MEDICAL PLAZA DR STE E
Charleston, SC 29406
(843) 572-1228
✔ PECOS✔ Accepts Medicare11 mi
Anesthesiology
NPI 1790752582
9263 MEDICAL PLAZA DR STE E
Charleston, SC 29406
(843) 572-1228
✔ PECOS✔ Accepts Medicare11 mi
Anesthesiology
NPI 1639244148
9263 MEDICAL PLAZA DR STE E
Charleston, SC 29406
(843) 572-1228
✔ PECOS✔ Accepts Medicare11 mi
Anesthesiology
NPI 1679541114
9263 MEDICAL PLAZA DR STE E
Charleston, SC 29406
(843) 572-1228
✔ PECOS✔ Accepts Medicare11 mi
Anesthesiology
NPI 1518935352
9263 MEDICAL PLAZA DR STE E
Charleston, SC 29406
(843) 572-1228
✔ PECOS✔ Accepts Medicare11 mi
Anesthesiology
NPI 1700942646
9263 MEDICAL PLAZA DR STE E
Charleston, SC 29406
(843) 572-1228
✔ PECOS✔ Accepts Medicare11 mi
Anesthesiology
NPI 1093057614
9263 MEDICAL PLAZA DR STE E
Charleston, SC 29406
(843) 572-1228
✔ PECOS✔ Accepts Medicare11 mi
Anesthesiology
NPI 1215905054
9263 MEDICAL PLAZA DR STE E
Charleston, SC 29406
(843) 572-1228
✔ PECOS✔ Accepts Medicare11 mi
Anesthesiology
NPI 1134201734
9263 MEDICAL PLAZA DR SUITE E
Charleston, SC 29406
(843) 572-1228
✔ PECOS✔ Accepts Medicare11 mi
Anesthesiology
NPI 1093978496
9263 MEDICAL PLAZA DR STE E
Charleston, SC 29406
(843) 572-1228
✔ PECOS✔ Accepts Medicare11 mi
Anesthesiology
NPI 1275501017
9263 MEDICAL PLAZA DR STE E
Charleston, SC 29406
(843) 572-1228
✔ PECOS✔ Accepts Medicare11 mi
See all 26 clinicians

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 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.

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.

Is Palmetto Digestive Disease PA enrolled in Medicare?

Yes. Palmetto Digestive Disease PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Palmetto Digestive Disease PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 26 clinicians in 4 Medicare specialties reassign their Medicare billing to Palmetto Digestive Disease PA. 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. The largest specialties are Anesthesiology (15), Gastroenterology (8) and Nurse Practitioner (2). Of these, 9 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 1 other insurer 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.