GREENVILLE PLASTIC SURGERY, PA
NPI 1144282336
Specialist in Greenville, NC

NPI Status: Active since April 04, 2006

Contact Information

400 SPRING FOREST RD
GREENVILLE, NC
ZIP 27834
Phone: (252) 758-6627
Fax: (252) 830-5168

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  • Organization
  • Specialist
  • CLIA Number: 34D0878717
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 06-21-2025

About GREENVILLE PLASTIC SURGERY, PA

This page provides the complete NPI Profile along with additional information for Greenville Plastic Surgery, Pa, a provider established in Greenville, North Carolina operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1144282336 assigned on April 2006. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Ms. Jackie M Mclawhorn (Office Manager)

NPI
1144282336
Provider Name
GREENVILLE PLASTIC SURGERY, PA
Entity Type
Organization
Location Address
400 SPRING FOREST RD GREENVILLE, NC 27834
Location Phone
(252) 758-6627
Location Fax
(252) 830-5168
Mailing Address
400 SPRING FOREST RD GREENVILLE, NC 27834
Mailing Phone
(252) 758-6627
Mailing Fax
(252) 830-5168
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-04-2006
Last Update Date
09-04-2007
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. JACKIE M MCLAWHORN

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(252) 758-6627

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0146NOTHER (01)NCBCBS GROUP ID #
890146NMEDICAID (05)NC 
2318800MEDICARE ID-TYPE UNSPECIFIED (04)NCMEDICARE GROUP ID NUMBER

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
34D0878717
Facility Type
Community Clinic
Certificate Effective Date
June 22, 2023
Certificate Expiration Date
June 21, 2025
Laboratory Director
SARAH SMITH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Greenville Plastic Surgery, Pa 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 GREENVILLE PLASTIC SURGERY, PA

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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.
1144282336
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
218448436
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 4 + 8 + 4 + 3 + 6 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1144282336 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1881697704DR. JUDIE LYNNE GARRISON MD
Individual
Specialist400 SPRING FOREST RD
GREENVILLE, NC 27834
(252) 758-6627
1952304883DR. RICHARD PHILLIP RIZZUTI MD
Individual
Specialist400 SPRING FOREST RD
GREENVILLE, NC 27834
(252) 758-6627

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144282336, enumerated in the NPI registry as an "organization" on April 04, 2006

The provider is located at 400 Spring Forest Rd Greenville, Nc 27834 and the phone number is (252) 758-6627

This medical organization specializes in Specialist with taxonomy code 174400000X

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 34D0878717 for a "community clinic" 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 April 04, 2006. 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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