BON SECOURS MEDICAL GROUP GREENVILLE PRIMARY CARE LLC
NPI 1013670207
Family Medicine in Greenville, SC
NPI Status: Active since October 15, 2021
Contact Information
1 SAINT FRANCIS DR
GREENVILLE, SC
ZIP 29601
Phone: (864) 603-6099
- Organization
- Family Medicine
- CLIA Number: 42D2322275
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-16-2027
About BON SECOURS MEDICAL GROUP GREENVILLE PRIMARY CARE LLC
This page provides the complete NPI Profile along with additional information for Bon Secours Medical Group Greenville Primary Care Llc, a primary care provider established in Greenville, South Carolina operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1013670207 assigned on October 2021. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Bon Secours Medical Group Greenville Primary Care Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Wilbur Gay (Cfo)
- NPI
- 1013670207
- Provider Name
- BON SECOURS MEDICAL GROUP GREENVILLE PRIMARY CARE LLC
- Entity Type
- Organization
- Location Address
- 1 SAINT FRANCIS DR GREENVILLE, SC 29601
- Location Phone
- (864) 603-6099
- Mailing Address
- 1701 MERCY HEALTH PL CINCINNATI, OH 45237
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-15-2021
- Last Update Date
- 10-15-2021
- Code Navigator
A primary care provider (PCP) like Bon Secours Medical Group Greenville Primary Care Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 174400000X | Other Service Providers | Specialist | |
| 2 | 207QG0300X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 3 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 4 | 207RS0010X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 5 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 6 | 251E00000X | Agencies | Home Health | |
| 7 | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 42D2322275
- Facility Type
- Physician Office
- Certificate Effective Date
- April 17, 2025
- Certificate Expiration Date
- April 16, 2027
- Laboratory Director
- JOANNE DANIEL-SAUNDERS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Bon Secours Medical Group Greenville Primary Care Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 1 | 3 | 6 | 7 | 0 | 2 | 0 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 2 | 3 | 12 | 7 | 0 | 2 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 2 + 3 + 1 + 2 + 7 + 0 + 2 + 0 + 24 = 43 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 43 = 7 | 7 | ||||||||
The NPI number 1013670207 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1851347728 | ELAINE MARY HAULE M.D. Individual | Emergency Medicine | 1 SAINT FRANCIS DR GREENVILLE, SC 29601 (864) 255-1000 |
| 1760439665 | PAMELA JOY VESS NP Individual | Nurse Practitioner | 1 SAINT FRANCIS DR GREENVILLE, SC 29601 (864) 255-1000 |
| 1700833464 | KERISEA SAMATA MCPHERSON M.D. Individual | Hospitalist | 1 SAINT FRANCIS DR GREENVILLE, SC 29601 (864) 255-1057 |
| 1619916392 | CELIA MELINDA THOMAS M.D. Individual | Emergency Medicine | 1 SAINT FRANCIS DR GREENVILLE, SC 29601 (864) 255-1000 |
| 1306885058 | DANIEL JAMES WETENHALL M.D. Individual | Emergency Medicine | 1 SAINT FRANCIS DR GREENVILLE, SC 29601 (864) 255-1000 |
| 1972543981 | GARDEN STUART CLARKSON JR. M.D. Individual | Emergency Medicine | 1 SAINT FRANCIS DR GREENVILLE, SC 29601 (864) 255-1000 |
| 1871537217 | ST. FRANCIS HOSPITAL, INC Organization | Rehabilitation Hospital | 1 SAINT FRANCIS DR GREENVILLE, SC 29601 (864) 255-1000 |
| 1558305995 | ST. FRANCIS HOSPITAL, INC. Organization | General Acute Care Hospital | 1 SAINT FRANCIS DR GREENVILLE, SC 29601 (864) 255-1000 |
| 1700822632 | DENNIS E NOVIA MD Individual | Anesthesiology | 1 SAINT FRANCIS DR GREENVILLE, SC 29601 (864) 255-1000 |
| 1164450391 | JAMES STANLEY ULMER MD Individual | Anesthesiology | 1 SAINT FRANCIS DR GREENVILLE, SC 29601 (864) 255-1000 |
| 1003844630 | MARK D NAQUIN MD Individual | Anesthesiology | 1 SAINT FRANCIS DR GREENVILLE, SC 29601 (864) 255-1000 |
| 1679501191 | JOSEPH W CARTER MD Individual | Anesthesiology | 1 SAINT FRANCIS DR GREENVILLE, SC 29601 (864) 255-1000 |
| 1699781740 | LARRY DILLARD PA-C Individual | Physician Assistant | 1 SAINT FRANCIS DR GREENVILLE, SC 29601 (864) 255-1000 |
| 1396895249 | JOHN THOMAS LATHAM JR. M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1 SAINT FRANCIS DR GREENVILLE, SC 29601 (864) 322-4167 |
| 1801921168 | MRS. ANNE M SUDDUTH CRNA Individual | Nurse Anesthetist, Certified Registered | 1 SAINT FRANCIS DR GREENVILLE, SC 29601 (864) 675-4510 |
| 1447388822 | THOMAS EDMOND ROSENZWEIG MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1 SAINT FRANCIS DR GREENVILLE, SC 29601 (864) 322-4167 |
| 1902017981 | MARY JO CAGLE MD Individual | Obstetrics & Gynecology (Gynecology) | 1 SAINT FRANCIS DR GREENVILLE, SC 29601 (864) 255-1878 |
| 1891990792 | MARK KLAPPERICH CRNA Individual | Nurse Anesthetist, Certified Registered | 1 SAINT FRANCIS DR GREENVILLE, SC 29601 (864) 255-1000 |
| 1568667491 | MRS. LORI MUNDY VISSER CRNA Individual | Nurse Anesthetist, Certified Registered | 1 SAINT FRANCIS DR GREENVILLE, SC 29601 (864) 255-1073 |
| 1578768271 | MR. KENNETH RODGERS LEDFORD JR. CRNA Individual | Nurse Anesthetist, Certified Registered | 1 SAINT FRANCIS DR GREENVILLE, SC 29601 (864) 255-1000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013670207, enumerated in the NPI registry as an "organization" on October 15, 2021
The provider is located at 1 Saint Francis Dr Greenville, Sc 29601 and the phone number is (864) 603-6099
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider's CLIA number is 42D2322275 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on October 15, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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