PELZER URGENT CARE LLC
NPI 1619656352
Clinic/Center - Urgent Care in Pelzer, SC

NPI Status: Active since July 11, 2023

Contact Information

323 LEBBY ST
PELZER, SC
ZIP 29669
Phone: (864) 769-0210
Fax: (888) 498-4287

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  • Organization
  • Clinic/Center
  • Urgent Care
  • Accepts Insurance
  • CLIA Number: 42D2301848
  • CLIA Cert. Type: Other - URGENT CARE
  • CLIA Exp. Date: 04-01-2026

About PELZER URGENT CARE LLC

This page provides the complete NPI Profile along with additional information for Pelzer Urgent Care Llc, a provider established in Pelzer, South Carolina operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1619656352 assigned on July 2023. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Domodhar Nerella Md (Administrator)

NPI
1619656352
Provider Name
PELZER URGENT CARE LLC
Entity Type
Organization
Location Address
323 LEBBY ST PELZER, SC 29669
Location Phone
(864) 769-0210
Location Fax
(888) 498-4287
Mailing Address
323 LEBBY ST PELZER, SC 29669
Mailing Phone
(864) 307-9212
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-11-2023
Last Update Date
06-03-2024
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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

Clinic/Center Urgent Care

Taxonomy Code
261QU0200X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Complete Silver with Atrium Health - HMO
  • Complete Silver with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze with Atrium Health - HMO
  • Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Focused Silver with Atrium Health - HMO
  • Focused Silver with Atrium Health + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Blue Direction Silver 1 - POS
  • Blue Direction Silver 1 + Adult Vision - POS
  • Blue Direction Silver 2 - POS
  • Blue Direction Standard Gold - POS
  • Blue Direction Standard Silver - POS
  • Blue VirtuConnect Bronze 1 - EPO
  • Blue VirtuConnect Gold 1 - EPO
  • Blue VirtuConnect Silver 1 - EPO
  • BlueEssentials Bronze 4 - EPO
  • BlueEssentials Bronze 6 - EPO
  • BlueEssentials Catastrophic 1 - EPO
  • BlueEssentials Gold 1 - EPO
  • BlueEssentials Gold 5 - EPO
  • BlueEssentials Silver 14 - EPO
  • BlueEssentials Silver 14 + Adult Vision - EPO
  • BlueEssentials Silver 39 - EPO
  • BlueEssentials Standard Expanded Bronze - EPO
  • BlueEssentials Standard Gold - EPO
  • BlueEssentials Standard Silver - EPO
  • BlueExtend PPO HD Bronze 1 - PPO
  • Standard Expanded Bronze WellCare - PPO
  • Standard Gold WellCare - PPO
  • Standard Silver WellCare - PPO

*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

DOMODHAR NERELLA MD

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(864) 847-2044

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
42D2301848
Facility Type
Other - URGENT CARE
Certificate Effective Date
April 02, 2024
Certificate Expiration Date
April 01, 2026
Laboratory Director
DAMODHAR NERELLA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pelzer Urgent Care Llc 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.

Reviews for PELZER URGENT CARE LLC

  • 5 out of 5 stars - Review by Melissa ***** on December 30, 2024

    My first visit to Pelzer Urgent Care was with my granddaughter, we were treated friendly and courteous in a very timely manner by the front office staff. Everyone from there was so kind and attentive to us I was very impressed with the service we received! We will return there anytime we need medical assistance!

  • 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.
    1619656352
    Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
    262912512310
    Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
    2 + 6 + 2 + 9 + 1 + 2 + 5 + 1 + 2 + 3 + 1 + 0 + 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 = 22

    The NPI number 1619656352 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 4 providers are registered at the same or nearby location.

    NPI Name / Type Taxonomy Address
    1912037672DANIEL A KOONTZ
    Organization
    Family Medicine323 LEBBY ST
    PELZER, SC 29669
    (864) 947-6666
    1487681805 DANIEL ALLEN KOONTZ M.D.
    Individual
    Family Medicine323 LEBBY ST
    PELZER, SC 29669
    (864) 947-6666
    1538447172ANMED HEALTH
    Organization
    Family Medicine323 LEBBY ST
    PELZER, SC 29669
    (864) 947-6666
    1720636533MS. DANETTE COGDILL FNP
    Individual
    Nurse Practitioner (Family)323 LEBBY ST
    PELZER, SC 29669
    (864) 769-0210

    Frequently Asked Questions

    The NPI number assigned to this healthcare provider is 1619656352, enumerated in the NPI registry as an "organization" on July 11, 2023

    The provider is located at 323 Lebby St Pelzer, Sc 29669 and the phone number is (864) 769-0210

    This medical organization specializes in Clinic/Center with taxonomy code 261QU0200X with a focus in Urgent Care

    The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

    The provider's CLIA number is 42D2301848 for a "other - urgent care" 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 11, 2023. 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.