PICTURE PERFECT HEALTH CENTER
NPI 1467791012
Clinic/Center - Multi-Specialty in Greenwood, SC
NPI Status: Active since February 01, 2013
Contact Information
517 PUCKETT FERRY RD
GREENWOOD, SC
ZIP 29649
Phone: (864) 388-4325
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 42D2060671
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-13-2027
About PICTURE PERFECT HEALTH CENTER
This page provides the complete NPI Profile along with additional information for Picture Perfect Health Center, a provider established in Greenwood, South Carolina operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1467791012 assigned on February 2013. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Picture Perfect Health Center. The authorized official of this NPI record is Dr. Jon Leizman Md (President)
- NPI
- 1467791012
- Provider Legal Name
- PREMISE HEALTH OF SOUTH CAROLINA MEDICAL, P.C
- Other Organization Name
- PICTURE PERFECT HEALTH CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 517 PUCKETT FERRY RD GREENWOOD, SC 29649
- Location Phone
- (864) 388-4325
- Mailing Address
- 5500 MARYLAND WAY STE 120 BRENTWOOD, TN 37027
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-01-2013
- Last Update Date
- 08-23-2022
- 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
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
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
- 42D2060671
- Facility Type
- Physician Office
- Certificate Effective Date
- June 14, 2025
- Certificate Expiration Date
- June 13, 2027
- Laboratory Director
- DR. ELIZABETH C. DAVENPORT
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Picture Perfect Health Center 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 | 4 | 6 | 7 | 7 | 9 | 1 | 0 | 1 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 12 | 7 | 14 | 9 | 2 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 2 + 7 + 1 + 4 + 9 + 2 + 0 + 2 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1467791012 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 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1760481055 | DR. DARLY M BERNARDO MD Individual | Family Medicine | 517 PUCKETT FERRY RD GREENWOOD, SC 29649 (864) 388-4325 |
| 1619225430 | ELIZABETH CORLEY DAVENPORT-FOX DNP, APRN, ANP-BC Individual | Nurse Practitioner (Adult Health) | 517 PUCKETT FERRY RD GREENWOOD, SC 29649 (864) 388-4325 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467791012, enumerated in the NPI registry as an "organization" on February 01, 2013
The provider is located at 517 Puckett Ferry Rd Greenwood, Sc 29649 and the phone number is (864) 388-4325
This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty
The provider's CLIA number is 42D2060671 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 February 01, 2013. 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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