POWDERSVILLE MEDICAL PARK – NPI #1518170182
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

POWDERSVILLE MEDICAL PARK is a provider located in GREENVILLE, SC. NPPES has assigned the NPI number 1518170182 to POWDERSVILLE MEDICAL PARK on May 08, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “POWDERSVILLE MEDICAL PARK” is a dba name, the actual legal business name for this organization is PALMETTO HEALTH ALLIANCE. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for POWDERSVILLE MEDICAL PARK below.

NPI Profile for
PALMETTO HEALTH ALLIANCE

NPI Number
1518170182
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PALMETTO HEALTH ALLIANCE
Doing Business As (dba): POWDERSVILLE MEDICAL PARK
Primary location
15 ROE ROAD
GREENVILLE, SC 29611
Phone: (864) 295-2308 Fax: (864) 295-2635
Mailing address
PO BOX 2089
EASLEY, SC 29641-2089
Phone: (864) 855-5104 Fax: (864) 859-9362
Organization Subpart
No
Authorized Official
KENDALL DURHAM
FINANCIAL SERVICE REP-MANAGER
Phone: (864) 855-5104
Updated
Identifiers

Identifiers for POWDERSVILLE MEDICAL PARK

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDSCDE1915
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.