PALMETTO NEPHROLOGY PA
NPI 1962433565
Specialist in Orangeburg, SC
About Palmetto Nephrology Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PALMETTO NEPHROLOGY PA (NPI 1962433565) is a healthcare organization registered as a specialist in Orangeburg, South Carolina and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Mohammad S Nassri, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
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 Nephrology Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Palmetto Nephrology PA, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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 Waiver 42D0716096
Palmetto Nephrology PA · Orangeburg, SCFrequently 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 Nephrology PA's NPI number?
The NPI number for Palmetto Nephrology PA is 1962433565. It was assigned to this organization in the NPPES registry on July 5, 2006.
Where is Palmetto Nephrology PA located?
Palmetto Nephrology PA is located at 3031 Saint Matthews Rd, Orangeburg, SC 29118. The listed phone number is (803) 531-2677.
What is Palmetto Nephrology PA's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Palmetto Nephrology PA enrolled in Medicare?
Yes. Palmetto Nephrology PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Palmetto Nephrology PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Palmetto Nephrology 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 Nephrology (3), Nurse Practitioner (3) and Internal Medicine (1). Of these, 5 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Palmetto Nephrology PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 42D0716096) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Palmetto Nephrology PA accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Molina Healthcare list Palmetto Nephrology 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 Nephrology PA was last updated on August 5, 2021. 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.
# Palmetto Nephrology Pa · NPI 1962433565
Specialist organization in Orangeburg, South Carolina. Organization record, active in the CMS NPPES registry since July 5, 2006.
## Identity
- **NPI:** 1962433565 (Entity type: Organization)
- **Enumerated:** July 5, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Mohammad Nassri, PRESIDENT
## Practice location
- **Address:** 3031 SAINT MATTHEWS RD, Orangeburg, SC 29118-1443
- **Phone:** (803) 531-2677 · **Fax:** (803) 531-6137
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nephrology (3), Nurse Practitioner (3), Internal Medicine (1); 5 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 5, 2021
- **Other identifiers:** Medicaid GP3407 (SC)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1962433565) · Data from the CMS NPPES public registry.