CENTERWELL SENIOR PRIMARY CARE (SC) PC
NPI 1285287482
Family Medicine in Anderson, SC
NPI Status: Active since July 17, 2019
Contact Information
108 HIGHWAY 28 BYP
ANDERSON, SC
ZIP 29624
Phone: (864) 772-8173
Fax: (833) 996-1161
- Organization
- Family Medicine
- CLIA Number: 42D2174743
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-06-2025
About CENTERWELL SENIOR PRIMARY CARE (SC) PC
This page provides the complete NPI Profile along with additional information for Centerwell Senior Primary Care (sc) Pc, a primary care provider established in Anderson, South Carolina operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1285287482 assigned on July 2019. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Centerwell Senior Primary Care (sc) Pc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's former legal business name is Partners In Primary Care Nc Pc. The authorized official of this NPI record is Angie Martinez (Senior Credentialing Professional)
- NPI
- 1285287482
- Provider Legal Name
- CENTERWELL SENIOR PRIMARY CARE (SC) PC
- Other Organization Name
- PARTNERS IN PRIMARY CARE NC PC
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 108 HIGHWAY 28 BYP ANDERSON, SC 29624
- Location Phone
- (864) 772-8173
- Location Fax
- (833) 996-1161
- Mailing Address
- 6101 BLUE LAGOON DR STE 200 MIAMI, FL 33126
- Mailing Phone
- (305) 500-2000
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 07-17-2019
- Last Update Date
- 08-19-2024
- Code Navigator
A primary care provider (PCP) like Centerwell Senior Primary Care (sc) Pc 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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 208D00000X | Allopathic & Osteopathic Physicians | General Practice |
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:
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 |
|---|---|---|---|
| GP9170 | 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
- 42D2174743
- Facility Type
- Physician Office
- Certificate Effective Date
- November 07, 2023
- Certificate Expiration Date
- November 06, 2025
- Laboratory Director
- ERICA SAVAGE-JETER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Centerwell Senior Primary Care (sc) Pc 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 | 2 | 8 | 5 | 2 | 8 | 7 | 4 | 8 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 4 | 8 | 14 | 4 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 4 + 8 + 1 + 4 + 4 + 1 + 6 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1285287482 is valid because the calculated check digit 2 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 |
|---|---|---|---|
| 1538773122 | DR. HEATHER LEANNA HEMBREE PHARMD Individual | Pharmacist | 108 HIGHWAY 28 BYP ANDERSON, SC 29624 (864) 296-5208 |
| 1124532528 | AMANDA MAYS LACK APRN Individual | Nurse Practitioner (Gerontology) | 108 HIGHWAY 28 BYP ANDERSON, SC 29624 (864) 772-8173 |
| 1225228240 | KAREN M HENRICHSEN D.O. Individual | Internal Medicine | 108 HIGHWAY 28 BYP ANDERSON, SC 29624 (864) 772-8173 |
| 1295787471 | JONY M BOLINGER M.D. Individual | Family Medicine | 108 HIGHWAY 28 BYP ANDERSON, SC 29624 (864) 523-8901 |
| 1366459323 | WALGREEN CO Organization | Pharmacy | 108 HIGHWAY 28 BYP ANDERSON, SC 29624 (864) 296-5208 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285287482, enumerated in the NPI registry as an "organization" on July 17, 2019
The provider is located at 108 Highway 28 Byp Anderson, Sc 29624 and the phone number is (864) 772-8173
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
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 42D2174743 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 17, 2019. 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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