SOUTH CAROLINA CENTER FOR INTERGRATIVE MEDICINE
NPI 1669981429
Family Medicine in Columbia, SC

NPI Status: Active since September 25, 2017

Contact Information

612 ST ANDREWS RD.
STE 2
COLUMBIA, SC
ZIP 29210
Phone: (803) 386-8684
Fax: (803) 386-8684

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  • Organization
  • Family Medicine
  • Accepts Insurance

About SOUTH CAROLINA CENTER FOR INTERGRATIVE MEDICINE

This page provides the complete NPI Profile along with additional information for South Carolina Center For Intergrative Medicine, a primary care provider established in Columbia, South Carolina operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1669981429 assigned on September 2017. The practitioner's primary taxonomy code is 207Q00000X with license number 2504 (SC). The provider is registered as an organization and their NPI record was last updated 7 years ago. South Carolina Center For Intergrative Medicine 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 South Carolina Center For Intergrative Medicine. The authorized official of this NPI record is Kimberly Shirk Pac (Physcian Assistant)

NPI
1669981429
Provider Legal Name
SOUTH CAROLINA CENTER FOR INTERGRATIVE MEDICINE
Other Organization Name
SOUTH CAROLINA CENTER FOR INTERGRATIVE MEDICINE
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
612 ST ANDREWS RD. STE 2 COLUMBIA, SC 29210
Location Phone
(803) 386-8684
Location Fax
(803) 386-8684
Mailing Address
612 SAINT ANDREWS RD STE 2 COLUMBIA, SC 29210
Mailing Phone
(803) 386-8684
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-25-2017
Last Update Date
06-16-2018
Code Navigator

A primary care provider (PCP) like South Carolina Center For Intergrative Medicine 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
License No.
2504
License State
SC
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.

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:

  • 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
  • Standard Expanded Bronze WellCare - PPO
  • Standard Gold WellCare - PPO
  • Standard Silver WellCare - PPO

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

KIMBERLY SHIRK PAC

Authorized Official Title
PHYSCIAN ASSISTANT
Authorized Official Phone
(803) 386-8684

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
1164683926OTHER (01)SCCOMMERCIAL

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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.
1669981429
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26129188244
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 2 + 9 + 1 + 8 + 8 + 2 + 4 + 4 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1669981429 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669981429, enumerated in the NPI registry as an "organization" on September 25, 2017

The provider is located at 612 St Andrews Rd. Ste 2 Columbia, Sc 29210 and the phone number is (803) 386-8684

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

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.

This NPI record was last updated on September 25, 2017. 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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