| Palmetto Medical Group | |
|
1040 Edgewater Corporate Pkwy Suite 101 Indian Land SC 29707-7177 | |
| (803) 548-7007 | |
| Not Available |
| Full Name | Palmetto Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 1040 Edgewater Corporate Pkwy Suite 101, Indian Land, South Carolina |
| Authorized Official Name and Position | Amit G Shah (PRESIDENT) |
| Authorized Official Contact | 8035487007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Medical Group 1040 Edgewater Corporate Pkwy Suite 101 Indian Land SC 29707-7177 Ph: (803) 548-7007 | Palmetto Medical Group 1040 Edgewater Corporate Pkwy Suite 101 Indian Land SC 29707-7177 Ph: (803) 548-7007 |
| NPI Number | 1467629261 |
|---|---|
| Provider Enumeration Date | 05/12/2008 |
| Last Update Date | 08/14/2015 |
| Medicare PECOS PAC ID | 5496823817 |
|---|---|
| Medicare Enrollment ID | O20081010000785 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467629261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Amit G Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740288323 PECOS PAC ID: 6709775562 Enrollment ID: I20050124000179 |
| Provider Name | Adediji Osinloye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316993462 PECOS PAC ID: 9335137207 Enrollment ID: I20081112000450 |
| Provider Name | Nimish Kantilal Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710141668 PECOS PAC ID: 2163566357 Enrollment ID: I20100225000947 |
| Provider Name | Jean Ronel Corbier |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225193105 PECOS PAC ID: 7012236284 Enrollment ID: I20150511000755 |
| Provider Name | James Todd Boyd |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1952466708 PECOS PAC ID: 2163575226 Enrollment ID: I20150601001667 |
| Provider Name | Rebecca R Louie |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1215225230 PECOS PAC ID: 6204063191 Enrollment ID: I20160224001086 |
| Provider Name | Rajesh Rohilla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003074154 PECOS PAC ID: 8325210800 Enrollment ID: I20170217001843 |
| Provider Name | Lavaniya Beesley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972882827 PECOS PAC ID: 8426270695 Enrollment ID: I20170524000914 |
| Provider Name | Svetlana G Danilova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346881398 PECOS PAC ID: 2860829306 Enrollment ID: I20200224001319 |
| Provider Name | Marie Sena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285265298 PECOS PAC ID: 7719301316 Enrollment ID: I20200715002146 |
| Provider Name | Claris Livingstone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992321962 PECOS PAC ID: 4688092661 Enrollment ID: I20200909000339 |
| Provider Name | Jessy George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497222426 PECOS PAC ID: 6305183765 Enrollment ID: I20210813002064 |
| Provider Name | Tara Brady |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427028869 PECOS PAC ID: 2264465566 Enrollment ID: I20220622002982 |
| Provider Name | Lalita S Mandavilli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649504176 PECOS PAC ID: 5698922276 Enrollment ID: I20221228000142 |
| Provider Name | Alexa-gail Ruth-ann Woolery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053000927 PECOS PAC ID: 6002263837 Enrollment ID: I20231115002440 |
Novant Health Indian Land Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6237 Carolina Commons Dr, Suite 101, Indian Land, SC 29707 Phone: 803-548-9393 Fax: 803-548-9590 | |
Kds Consultants, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8351 Charlotte Hwy Ste 200, Indian Land, SC 29707 Phone: 803-285-1082 Fax: 803-283-4329 | |
Mecklenburg Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7666 Charlotte Highway, Suite 200, Indian Land, SC 29707 Phone: 704-302-9600 Fax: 803-431-8225 | |
Levine Cancer Institute Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7666 Charlotte Hwy, Suite 200-a, Indian Land, SC 29707 Phone: 704-302-9600 Fax: 704-302-9601 | |
Barnett Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7666 Charlotte Hwy, Ste 120, Indian Land, SC 29707 Phone: 803-431-8220 | |
Mackey Family Practice, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8351 Charlotte Hwy, Suite 200, Indian Land, SC 29707 Phone: 803-396-5368 Fax: 803-396-5350 |