PEE DEE PEDIATRICS
NPI 1336173970
Clinic/Center - Rural Health in Mullins, SC

NPI Status: Active since July 10, 2006

Contact Information

2835 E HIGHWAY 76
SUITE 7
MULLINS, SC
ZIP 29574
Phone: (843) 431-2650
Fax: (843) 431-2647

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  • Organization
  • Clinic/Center
  • Rural Health

About PEE DEE PEDIATRICS

This page provides the complete NPI Profile along with additional information for Pee Dee Pediatrics, a primary care provider established in Mullins, South Carolina operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1336173970 assigned on July 2006. The practitioner's primary taxonomy code is 261QR1300X with license number RHC 121 (SC). The provider is registered as an organization and their NPI record was last updated 17 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 provider's is doing business as Pee Dee Pediatrics. The authorized official of this NPI record is Harold E Tucker (Chief Executive Officer)

NPI
1336173970
Provider Legal Name
MARION REGIONAL HEALTHCARE SYSTEM
Other Organization Name
PEE DEE PEDIATRICS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2835 E HIGHWAY 76 SUITE 7 MULLINS, SC 29574
Location Phone
(843) 431-2650
Location Fax
(843) 431-2647
Mailing Address
PO BOX 1150 MARION, SC 29571
Mailing Phone
(843) 431-2650
Mailing Fax
(843) 431-2647
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-10-2006
Last Update Date
10-02-2008
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A primary care provider (PCP) like Pee Dee Pediatrics 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

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities
License No.
RHC 121
License State
SC

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)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

 

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.

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

HAROLD E TUCKER

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(843) 431-2405

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
428928MEDICARE ID-TYPE UNSPECIFIED (04)SC 
RHC121MEDICAID (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.
1336173970
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2366276914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 2 + 7 + 6 + 9 + 1 + 4 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1336173970 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1770560310MRS. ARNELL CORETHIA KITHCART FNP
Individual
Nurse Practitioner (Family)2835 E HIGHWAY 76 STE 6
MULLINS, SC 29574
(843) 431-9882
1336155761MARION REGIONAL HEALTHCARE SYSTEM
Organization
Family Medicine2835 E HIGHWAY 76 SUITE 7
MULLINS, SC 29574
(843) 431-2710
1871601039CAMPBELL FAMILY PRACTICE, P.A.
Organization
Clinic/Center (Rural Health)2835 E HIGHWAY 76 SUITE 6
MULLINS, SC 29574
(843) 431-9882
1205939550 TREADWELL CAMPBELL M.D.
Individual
Family Medicine2835 E HIGHWAY 76 SUITE 6
MULLINS, SC 29574
(843) 431-9882
1376670562MARION REGIONAL HEALTHCARE SYSTEM
Organization
Surgery2835 E HIGHWAY 76 SUITE 5
MULLINS, SC 29574
(843) 423-3739
1053623116MARION PHYSICIAN SERVICES LLC
Organization
Clinic/Center (Rural Health)2835 E HIGHWAY 76 SUITE 7
MULLINS, SC 29574
(843) 431-2710
1003868761MR. HARVEY WILLIS PUTNAM JR. PA
Individual
Physician Assistant2835 E HIGHWAY 76 SUITE 3
MULLINS, SC 29574
(843) 423-0230
1134154438 CHARLES H HUGHES JR. MD
Individual
Orthopaedic Surgery2835 E HIGHWAY 76 SUITE 5
MULLINS, SC 29574
(843) 431-2280
1639136831 FREDERICK JAMES HAMILTON DO
Individual
Orthopaedic Surgery2835 E HIGHWAY 76 SUITE 5
MULLINS, SC 29574
(843) 431-2280

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336173970, enumerated in the NPI registry as an "organization" on July 10, 2006

The provider is located at 2835 E Highway 76 Suite 7 Mullins, Sc 29574 and the phone number is (843) 431-2650

This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health

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.

This NPI record was last updated on July 10, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.