AESTHETIC CENTER FOR BREAST AND COSMETIC SURGERY, PA
NPI 1174906648
Plastic Surgery in Greenville, SC
NPI Status: Active since July 02, 2015
Contact Information
615 HALTON RD
GREENVILLE, SC
ZIP 29607
Phone: (864) 676-1707
Fax: (864) 676-9256
- Organization
- Plastic Surgery
- CLIA Number: 42D1025349
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-04-2026
About AESTHETIC CENTER FOR BREAST AND COSMETIC SURGERY, PA
This page provides the complete NPI Profile along with additional information for Aesthetic Center For Breast And Cosmetic Surgery, Pa, a provider established in Greenville, South Carolina operating as a Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1174906648 assigned on July 2015. The practitioner's primary taxonomy code is 208200000X with license number 11893 (SC). The provider is registered as an organization and their NPI record was last updated 10 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 Mr. Sutton Lewis Graham Ii Md (Owner)
- NPI
- 1174906648
- Provider Name
- AESTHETIC CENTER FOR BREAST AND COSMETIC SURGERY, PA
- Entity Type
- Organization
- Location Address
- 615 HALTON RD GREENVILLE, SC 29607
- Location Phone
- (864) 676-1707
- Location Fax
- (864) 676-9256
- Mailing Address
- 615 HALTON RD GREENVILLE, SC 29607
- Mailing Phone
- (864) 676-1707
- Mailing Fax
- (864) 676-9256
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-02-2015
- Last Update Date
- 07-02-2015
- Code Navigator
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
Plastic Surgery
- Taxonomy Code
- 208200000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 11893
- License State
- SC
- Taxonomy Description
- A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
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.
*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 |
|---|---|---|---|
| GP0192 | MEDICAID (05) | SC |
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
- 42D1025349
- Facility Type
- Physician Office
- Certificate Effective Date
- May 05, 2024
- Certificate Expiration Date
- May 04, 2026
- Laboratory Director
- SUTTON L. GRAHAM II, MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Aesthetic Center For Breast And Cosmetic 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.
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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 | 9 | 0 | 6 | 6 | 4 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 14 | 4 | 18 | 0 | 12 | 6 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 4 + 4 + 1 + 8 + 0 + 1 + 2 + 6 + 8 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1174906648 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1972601888 | DR. SUTTON L GRAHAM II MD Individual | Plastic Surgery | 615 HALTON RD SUITE 100 GREENVILLE, SC 29607 (864) 676-1707 |
| 1255679247 | JANICE SASSER FNP BC Individual | Nurse Practitioner (Family) | 615 HALTON RD SUITE 100 GREENVILLE, SC 29607 (864) 676-1707 |
| 1740641877 | MRS. SARA SHAPRE CHRISTIE FNP-C Individual | Nurse Practitioner (Family) | 615 HALTON RD SUITE 100 GREENVILLE, SC 29607 (864) 676-1707 |
| 1689228827 | STEPHANIE SMITH Individual | Registered Nurse | 615 HALTON RD GREENVILLE, SC 29607 (864) 676-1707 |
| 1396582334 | ALLISON J BISHOP MSN, FNP-BC, APRN Individual | Plastic Surgery | 615 HALTON RD GREENVILLE, SC 29607 (864) 676-1707 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174906648, enumerated in the NPI registry as an "organization" on July 02, 2015
The provider is located at 615 Halton Rd Greenville, Sc 29607 and the phone number is (864) 676-1707
This medical organization specializes in Plastic Surgery with taxonomy code 208200000X
The provider might be accepting Accepts: 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 42D1025349 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 July 02, 2015. 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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