OAK STREET HEALTH PHYSICIANS GROUP OF SOUTH CAROLINA, LLC
NPI 1023614914
Clinic/Center - Primary Care in Greenville, SC
NPI Status: Active since December 07, 2020
Contact Information
6119 WHITE HORSE RD STE 14
GREENVILLE, SC
ZIP 29611
Phone: (312) 733-9730
- Organization
- Clinic/Center
- Primary Care
- CLIA Number: 42D2212749
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-06-2027
About OAK STREET HEALTH PHYSICIANS GROUP OF SOUTH CAROLINA, LLC
This page provides the complete NPI Profile along with additional information for Oak Street Health Physicians Group Of South Carolina, Llc, a primary care provider established in Greenville, South Carolina operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1023614914 assigned on December 2020. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Oak Street Health Physicians Group Of South Carolina, 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 Dr. Griffin Myers (Cmo)
- NPI
- 1023614914
- Provider Name
- OAK STREET HEALTH PHYSICIANS GROUP OF SOUTH CAROLINA, LLC
- Entity Type
- Organization
- Location Address
- 6119 WHITE HORSE RD STE 14 GREENVILLE, SC 29611
- Location Phone
- (312) 733-9730
- Mailing Address
- 30 W MONROE ST STE 1200 CHICAGO, IL 60603
- Mailing Phone
- (312) 733-9730
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-07-2020
- Last Update Date
- 06-29-2023
- Code Navigator
A primary care provider (PCP) like Oak Street Health Physicians Group Of South Carolina, 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
Clinic/Center Primary Care
- Taxonomy Code
- 261QP2300X
- Type
- Ambulatory Health Care Facilities
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 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | |
| 2 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 3 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 4 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 5 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
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
- 42D2212749
- Facility Type
- Physician Office
- Certificate Effective Date
- February 07, 2025
- Certificate Expiration Date
- February 06, 2027
- Laboratory Director
- DR. GRIFFIN R. MYERS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Oak Street Health Physicians Group Of South Carolina, 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 | 2 | 3 | 6 | 1 | 4 | 9 | 1 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 4 | 3 | 12 | 1 | 8 | 9 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 4 + 3 + 1 + 2 + 1 + 8 + 9 + 2 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1023614914 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1346477254 | KATHERINE DUPRE PARK LUMPKIN D.O. Individual | Internal Medicine | 6119 WHITE HORSE RD STE 14 GREENVILLE, SC 29611 (864) 614-7001 |
| 1811410475 | MRS. NICOLE MARIE SEGARRA FNP Individual | Nurse Practitioner (Family) | 6119 WHITE HORSE RD STE 14 GREENVILLE, SC 29611 (864) 614-7001 |
| 1366806069 | MRS. CYNTHIA MORRIS FNP-C Individual | Nurse Practitioner (Family) | 6119 WHITE HORSE RD STE 14 GREENVILLE, SC 29611 (864) 614-7001 |
| 1649934571 | KATHRYN DENHOF Individual | Nurse Practitioner (Family) | 6119 WHITE HORSE RD STE 14 GREENVILLE, SC 29611 (864) 721-9787 |
| 1013956663 | JAMIE C GOODMAN DO Individual | Family Medicine | 6119 WHITE HORSE RD STE 14 GREENVILLE, SC 29611 (864) 614-7001 |
| 1346613213 | LAKEISHA SHUNTE HENDERSON NP Individual | Nurse Practitioner (Family) | 6119 WHITE HORSE RD STE 14 GREENVILLE, SC 29611 (864) 614-7001 |
| 1841821162 | JEREMY ALEX FULLER NP Individual | Nurse Practitioner (Family) | 6119 WHITE HORSE RD STE 14 GREENVILLE, SC 29611 (864) 614-7001 |
| 1851337471 | HOWARD PAUL BLOUNT III MD Individual | Family Medicine | 6119 WHITE HORSE RD STE 14 GREENVILLE, SC 29611 (864) 614-7001 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023614914, enumerated in the NPI registry as an "organization" on December 07, 2020
The provider is located at 6119 White Horse Rd Ste 14 Greenville, Sc 29611 and the phone number is (312) 733-9730
This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care
The provider's CLIA number is 42D2212749 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 December 07, 2020. 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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