PALMETTO PODIATRY GROUP OF ANDERSON PA NPI 1043316987

NPI Information

  • NPI: 1043316987
  • Provider Name: PALMETTO PODIATRY GROUP OF ANDERSON, PA
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • CLIA Number: 42D2179576
  • Address: 2126 - B HWY 81 NORTH
    ANDERSON, SC
    ZIP 29621
  • Phone: (864) 231-6395

Map and Directions

Get Directions

NPI Details

PALMETTO PODIATRY GROUP OF ANDERSON, PA is a podiatrist in Anderson, SC. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. PALMETTO PODIATRY GROUP OF ANDERSON, PA NPI is 1043316987. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2126 - B HWY 81 NORTH
ANDERSON, SC
ZIP 29621-819
Phone: (864) 231-6395
Fax: (864) 231-6520

The provider's authorized official is James L Rose .
The authorized official title is President and has the following contact phone number (864) 231-6395.

The CLIA number assigned to this NPI record is 42D2179576 - other - clinical research facilit with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/16/2006 and was last updated on 2/26/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatristYes
2213ES0103XPodiatristFoot & Ankle SurgeryNo
3332B00000XDurable Medical Equipment & Medical SuppliesNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CJ8533OTHERSOUTH CAROLINAMEDICARE RAILROAD
2GP9935MEDICAIDSOUTH CAROLINA
3451213001OTHERSOUTH CAROLINAMEDICARE DME

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI