CMC PRIMARY CARE CHURCH STREET
NPI 1073219325
Internal Medicine in Conway, SC
NPI Status: Active since February 07, 2023
Contact Information
2701 CHURCH ST
STE A
CONWAY, SC
ZIP 29526
Phone: (843) 365-0295
Fax: (843) 365-0354
- Organization
- Internal Medicine
- Accepts Insurance
- CLIA Number: 42D2281864
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-11-2027
About CMC PRIMARY CARE CHURCH STREET
This page provides the complete NPI Profile along with additional information for Cmc Primary Care Church Street, an internist established in Conway, South Carolina operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1073219325 assigned on February 2023. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Cmc Primary Care Church Street operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Cmc Primary Care Church Street. The authorized official of this NPI record is Mary Ellen Artioli (Credentialing Specialist)
- NPI
- 1073219325
- Provider Legal Name
- CONWAY HOSPITAL, INC.
- Other Organization Name
- CMC PRIMARY CARE CHURCH STREET
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2701 CHURCH ST STE A CONWAY, SC 29526
- Location Phone
- (843) 365-0295
- Location Fax
- (843) 365-0354
- Mailing Address
- 300 SINGLETON RIDGE RD ATTENTION PNS CREDENTIALING CONWAY, SC 29526
- Mailing Phone
- (843) 234-6946
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-07-2023
- Last Update Date
- 03-04-2024
- Code Navigator
An internist like Cmc Primary Care Church Street is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Direction Silver 1 - POS
- Blue Direction Silver 1 + Adult Vision - POS
- Blue Direction Silver 2 - POS
- Blue Direction Standard Gold - POS
- Blue Direction Standard Silver - POS
- Blue Pee Dee Bronze 1 - HMO
- Blue Pee Dee Bronze 2 - HMO
- Blue Pee Dee Gold 1 - HMO
- Blue Pee Dee Silver 1 - HMO
- Blue Pee Dee Silver 2 - HMO
- Blue Pee Dee Silver 2 + Adult Vision - HMO
- Blue Pee Dee Standard Expanded Bronze - HMO
- Blue Pee Dee Standard Gold - HMO
- Blue Pee Dee Standard Silver - HMO
- Blue VirtuConnect Bronze 1 - EPO
- Blue VirtuConnect Gold 1 - EPO
- Blue VirtuConnect Silver 1 - EPO
- BlueEssentials Bronze 4 - EPO
- BlueEssentials Bronze 6 - EPO
- BlueEssentials Catastrophic 1 - EPO
- First Choice Next Bronze Essential - HMO
- First Choice Next Bronze Premier - HMO
- First Choice Next Bronze Signature - HMO
- First Choice Next Gold Deluxe - HMO
- First Choice Next Gold Signature - HMO
- First Choice Next Silver Deluxe - HMO
- First Choice Next Silver Premier - HMO
- First Choice Next Silver Signature - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 - HMO
- Silver 8 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 42D2281864
- Facility Type
- Physician Office
- Certificate Effective Date
- May 12, 2025
- Certificate Expiration Date
- May 11, 2027
- Laboratory Director
- DR. MICHAEL M. FROST
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Cmc Primary Care Church Street 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.
Reviews for CMC PRIMARY CARE CHURCH STREET
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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 | 7 | 3 | 2 | 1 | 9 | 3 | 2 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 14 | 3 | 4 | 1 | 18 | 3 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 4 + 3 + 4 + 1 + 1 + 8 + 3 + 4 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1073219325 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1851140180 | CONWAY HOSPITAL, INC. Organization | Pediatrics | 2701 CHURCH ST STE F CONWAY, SC 29526 (843) 369-0024 |
| 1144616384 | DR. CHARLES M FROST DO Individual | Internal Medicine | 2701 CHURCH ST STE A CONWAY, SC 29526 (843) 365-0295 |
| 1174082184 | MICHAEL M FROST DO Individual | Internal Medicine | 2701 CHURCH ST STE A CONWAY, SC 29526 (843) 365-0295 |
| 1427039726 | HERBIE SEYMOUR BRYAN MD Individual | Internal Medicine (Pulmonary Disease) | 2701 CHURCH ST STE D CONWAY, SC 29526 (843) 234-6888 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073219325, enumerated in the NPI registry as an "organization" on February 07, 2023
The provider is located at 2701 Church St Ste A Conway, Sc 29526 and the phone number is (843) 365-0295
This medical organization specializes in Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: BlueCross BlueShield of South Carolina, First. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 42D2281864 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 February 07, 2023. 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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