PH DEVELOPMENTAL PEDIATRICS
NPI 1578890273
Pediatrics - Developmental - Behavioral Pediatrics in Greenville, SC

NPI Status: Active since November 17, 2009

Contact Information

200 PATEWOOD DR
SUITE A200
GREENVILLE, SC
ZIP 29615
Phone: (864) 454-5115

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  • Organization
  • Pediatrics
  • Developmental - Behavioral Pediatrics
  • Accepts Insurance

About PH DEVELOPMENTAL PEDIATRICS

This page provides the complete NPI Profile along with additional information for Ph Developmental Pediatrics, a pediatrician established in Greenville, South Carolina operating as a Pediatrics, focusing in developmental - behavioral pediatrics . The healthcare provider is registered in the NPI registry with number 1578890273 assigned on November 2009. The practitioner's primary taxonomy code is 2080P0006X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Ph Developmental Pediatrics operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Ph Developmental Pediatrics. The authorized official of this NPI record is Kristi Ann Lawrence (Director Provider Enrollment & Cvo)

NPI
1578890273
Provider Legal Name
PRISMA HEALTH UNIVERSITY MEDICAL GROUP
Other Organization Name
PH DEVELOPMENTAL PEDIATRICS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
200 PATEWOOD DR SUITE A200 GREENVILLE, SC 29615
Location Phone
(864) 454-5115
Mailing Address
7 INDEPENDENCE PT STE 140 GREENVILLE, SC 29615
Mailing Phone
(864) 385-4790
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-17-2009
Last Update Date
02-23-2024
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A pediatrician like Ph Developmental Pediatrics 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.

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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 Developmental - Behavioral Pediatrics

Taxonomy Code
2080P0006X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

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:

  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - PPO
  • BlueOptions Silver 24J01-03 ($0 Virtual PCP Visits / $0 Labs / Rewards) - PPO
  • BlueOptions Silver 24J01-07 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards) - PPO
  • BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx) - EPO
  • BlueSelect Bronze 1449 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - EPO
  • BlueSelect Bronze 2139 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - EPO
  • BlueSelect Bronze 2139E ($0 Virtual PCP Visits / $50 PCP Visits / Adult Dental & Vision / Rewards) - EPO
  • BlueSelect Bronze 2139V ($0 Virtual PCP Visits / $50 PCP Visits / Adult Vision / Rewards) - EPO
  • BlueSelect Bronze 2342S ($50 PCP Visits / Multilingual Available / Rewards) - EPO
  • BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
  • BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
  • BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
  • BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
  • BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
  • BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
  • BlueCare Gold 24K01-10 ($0 Virtual PCP Visits / $15 Labs / Rewards) - POS
  • BlueCare Gold 24K01-33S ($30 PCP Visits / Multilingual Available/ Rewards) - POS
  • BlueCare Gold 24K02-20 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
  • BlueCare Gold 24K02-28S ($30 PCP Visits / Multilingual Available / Rewards) - POS
  • BlueCare Platinum 24K01-04 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - POS
  • BlueCare Platinum 24K01-07 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
  • BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
  • BlueCare Platinum 24K02-15 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
  • BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
  • BlueCare Silver 24K01-02 ($0 Virtual PCP Visits / $0 Labs / Rewards) - POS

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

KRISTI ANN LAWRENCE

Authorized Official Title
DIRECTOR PROVIDER ENROLLMENT & CVO
Authorized Official Phone
(864) 522-8611

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
DRC010MEDICAID (05)SC 
DEC300MEDICAID (05)SC 
20032744OTHER (01)SCSELECT HEALTH ID NUMBER

Reviews for PH DEVELOPMENTAL PEDIATRICS

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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.
1578890273
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251481690214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 4 + 8 + 1 + 6 + 9 + 0 + 2 + 1 + 4 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1578890273 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1508861345 JOHN KIM JOHNSON M.D.
Individual
Neurological Surgery200 PATEWOOD DR SUITE B260
GREENVILLE, SC 29615
(864) 454-4600
1235125196MS. GAIL D AZAIN RN, FNP
Individual
Nurse Practitioner (Family)200 PATEWOOD DR SUITE B 350
GREENVILLE, SC 29615
(864) 454-4500
1134106693OAKTREE MEDICAL CENTRE, PC
Organization
Clinic/Center (Pain)200 PATEWOOD DR SUITE A 350
GREENVILLE, SC 29615
(864) 242-6447
1821060336 BRYAN SCOTT MOON MD
Individual
Orthopaedic Surgery200 PATEWOOD DR SUITE C100
GREENVILLE, SC 29615
(864) 454-4260
1144289687 DENISE M JACQUES M.D.
Individual
Pediatrics (Adolescent Medicine)200 PATEWOOD DR SUITE A120
GREENVILLE, SC 29615
(864) 454-2670
1932169273GREENVILLE EAR NOSE & THROAT
Organization
Clinic/Center (Oral and Maxillofacial Surgery)200 PATEWOOD DR BUILDING B SUITE B400
GREENVILLE, SC 29615
(864) 454-4368
1275588634 KELLY M MALENA PA C
Individual
Physician Assistant (Medical)200 PATEWOOD DR SUITE C300
GREENVILLE, SC 29615
(864) 454-8272
1871548123 JAMES D. SMITH M.D.
Individual
Obstetrics & Gynecology200 PATEWOOD DR STE A10
GREENVILLE, SC 29615
(864) 454-2222
1467408278 LISA A. SNYDER LISW
Individual
Social Worker (Clinical)200 PATEWOOD DR SUITE A200
GREENVILLE, SC 29615
(864) 454-5115
1568409456 DOUGLAS E. WINESETT M.D.
Individual
Pediatrics (Pediatric Gastroenterology)200 PATEWOOD DR SUITE A140
GREENVILLE, SC 29615
(864) 454-5125
1457395295GASTROENTEROLOGY ASSOCIATES, PA
Organization
Internal Medicine (Gastroenterology)200 PATEWOOD DR SUITE B200
GREENVILLE, SC 29615
(864) 232-7338
1568407120DR. LAUREN HAWKINS BATSON PHD
Individual
Psychologist200 PATEWOOD DR SUITE A200
GREENVILLE, SC 29615
(864) 454-5115
1649216946 ROGER D BLACKWELL PHARMACIST
Individual
Pharmacist200 PATEWOOD DR SUITE A12
GREENVILLE, SC 29615
(864) 454-2369
1376570994 CAROL ANN ALLEN RDMS
Individual
Dietitian, Registered200 PATEWOOD DR SUITE A200
GREENVILLE, SC 29615
(864) 454-5613
1356443535MRS. BENETTA M ALBAUGH ATC
Individual
Specialist/Technologist (Athletic Trainer)200 PATEWOOD DR SUITE B260
GREENVILLE, SC 29615
(864) 454-8260
1841399599DR. LUIS F. MARTI-CALZAMILIA M.D.
Individual
Pediatrics (Developmental - Behavioral Pediatrics)200 PATEWOOD DR SUITE A200
GREENVILLE, SC 29615
(864) 454-5115
1720171309 MICHAEL W. KELLY M.D.
Individual
Internal Medicine (Gastroenterology)200 PATEWOOD DR SUITE B200
GREENVILLE, SC 29615
(864) 232-7338
1588758908 GREGORY S. HOLT M.D.
Individual
Internal Medicine (Gastroenterology)200 PATEWOOD DR SUITE B200
GREENVILLE, SC 29615
(864) 232-7338
1952494544 MICHAEL L. CROWLEY M.D.
Individual
Internal Medicine (Gastroenterology)200 PATEWOOD DR SUITE B200
GREENVILLE, SC 29615
(864) 232-7338
1205929965 SUZY L. KIM M.D.
Individual
Internal Medicine (Gastroenterology)200 PATEWOOD DR SUITE B200
GREENVILLE, SC 29615
(864) 232-7338

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578890273, enumerated in the NPI registry as an "organization" on November 17, 2009

The provider is located at 200 Patewood Dr Suite A200 Greenville, Sc 29615 and the phone number is (864) 454-5115

This medical organization specializes in Pediatrics with taxonomy code 2080P0006X with a focus in Developmental - Behavioral Pediatrics

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. 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 November 17, 2009. 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.