ANTOINETTE MARIE BANNISTER M.D.
NPI 1174579254
Pediatrics in Clemson, SC
NPI Status: Active since May 26, 2006
Contact Information
450 OLD GREENVILLE HWY
CLEMSON, SC
ZIP 29631
Phone: (864) 653-8964
- Individual
- Female
- Pediatrics
- Accepts Insurance
About ANTOINETTE BANNISTER
This page provides the complete NPI Profile along with additional information for Antoinette Bannister, a pediatrician established in Clemson, South Carolina with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1174579254 assigned on May 2006. The practitioner's primary taxonomy code is 208000000X with license number 36764 (SC). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1174579254
- Provider Name
- ANTOINETTE MARIE BANNISTER M.D.
- Other Name
- ANTOINETTE BANNISTER MD
- Other Name Type
- Professional Name (2)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 450 OLD GREENVILLE HWY CLEMSON, SC 29631
- Location Phone
- (864) 653-8964
- Mailing Address
- 300 E MCBEE AVE FL 4 GREENVILLE, SC 29601
- Mailing Phone
- (864) 522-8611
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-26-2006
- Last Update Date
- 01-28-2025
- Code Navigator
A pediatrician like Antoinette Bannister is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Secondary Locations
- 111 Omni Drive
Seneca, SC 29672
(864) 888-4222
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
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 36764
- License State
- SC
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Complete Silver with Atrium Health - HMO
- Complete Silver with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Bronze with Atrium Health - HMO
- Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Focused Silver with Atrium Health - HMO
- Focused Silver with Atrium Health + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
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.
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 |
|---|---|---|---|
| 367640 | MEDICAID (05) | SC |
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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 | 1 | 7 | 4 | 5 | 7 | 9 | 2 | 5 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 14 | 4 | 10 | 7 | 18 | 2 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 4 + 4 + 1 + 0 + 7 + 1 + 8 + 2 + 1 + 0 + 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 1174579254 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 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1194741124 | MARION A WILLS M.D. Individual | Pediatrics | 450 OLD GREENVILLE HWY CLEMSON, SC 29631 (864) 653-8964 |
| 1619423704 | PRISMA HEALTH-UPSTATE Organization | Clinic/Center (Rural Health) | 450 OLD GREENVILLE HWY CLEMSON, SC 29631 (864) 653-8964 |
| 1013698687 | PRISMA HEALTH-UPSTATE Organization | Clinic/Center (Multi-Specialty) | 450 OLD GREENVILLE HWY CLEMSON, SC 29631 (864) 653-8964 |
| 1700949120 | BETH LYNN DICKERSON NP Individual | Nurse Practitioner (Pediatrics) | 450 OLD GREENVILLE HWY CLEMSON, SC 29631 (864) 653-8964 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174579254, enumerated in the NPI registry as an "individual" on May 26, 2006
The provider is located at 450 Old Greenville Hwy Clemson, Sc 29631 and the phone number is (864) 653-8964
The provider's speciality is Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on May 26, 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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