CENTERWELL SENIOR PRIMARY CARE (SC) PC
NPI 1710341144
Internal Medicine in Anderson, SC

NPI Status: Active since April 12, 2016

Contact Information

2001 E GREENVILLE ST
ANDERSON, SC
ZIP 29621
Phone: (864) 332-3098
Fax: (855) 232-3959

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  • Organization
  • Internal Medicine
  • CLIA Number: 42D2114508
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-14-2026

About CENTERWELL SENIOR PRIMARY CARE (SC) PC

This page provides the complete NPI Profile along with additional information for Centerwell Senior Primary Care (sc) Pc, an internist established in Anderson, South Carolina operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1710341144 assigned on April 2016. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Centerwell Senior Primary Care (sc) Pc 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 Partners In Primary Care Nc Pc. The authorized official of this NPI record is Angie Martinez (Senior Credentialing Professional)

NPI
1710341144
Provider Legal Name
CENTERWELL SENIOR PRIMARY CARE (SC) PC
Other Organization Name
PARTNERS IN PRIMARY CARE NC PC
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
2001 E GREENVILLE ST ANDERSON, SC 29621
Location Phone
(864) 332-3098
Location Fax
(855) 232-3959
Mailing Address
6101 BLUE LAGOON DR STE 200 MIAMI, FL 33126
Mailing Phone
(305) 500-2000
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-12-2016
Last Update Date
08-19-2024
Code Navigator

An internist like Centerwell Senior Primary Care (sc) Pc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
2208D00000XAllopathic & Osteopathic Physicians

General Practice

 

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.

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

ANGIE MARTINEZ

Authorized Official Title
SENIOR CREDENTIALING PROFESSIONAL
Authorized Official Phone
(407) 447-7120

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
42D2114508
Facility Type
Physician Office
Certificate Effective Date
June 15, 2024
Certificate Expiration Date
June 14, 2026
Laboratory Director
ERICA SAVAGE-JETER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Centerwell Senior Primary Care (sc) Pc 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.
1710341144
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
272064218
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 6 + 4 + 2 + 1 + 8 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1710341144 is valid because the calculated check digit 4 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
1902873912 CATHERINE FAYE MATTINGLY NURSE PRACTITIONER
Individual
Nurse Practitioner2001 E GREENVILLE ST
ANDERSON, SC 29621
(864) 332-3098
1033399134 CYNTHIA MARIE PETERMANN NP-C
Individual
Nurse Practitioner (Gerontology)2001 E GREENVILLE ST
ANDERSON, SC 29621
(864) 332-3098
1841523784 LINDSAY PATLEWICZ LISW, LMSW
Individual
Social Worker (Clinical)2001 E GREENVILLE ST
ANDERSON, SC 29621
(864) 332-3098
1922110956DR. LYNDA M MCKINNON MD CM
Individual
Family Medicine2001 E GREENVILLE ST
ANDERSON, SC 29621
(864) 332-3098
1992935837MRS. JILL EILEEN KESSLER FNP-BC
Individual
Nurse Practitioner (Family)2001 E GREENVILLE ST
ANDERSON, SC 29621
(864) 332-3098
1124274709DR. BEI ZHENG M.D.
Individual
Family Medicine2001 E GREENVILLE ST
ANDERSON, SC 29621
(864) 332-3098
1558526384 STEPHEN BROOKS SMITH MD
Individual
Emergency Medicine (Emergency Medical Services)2001 E GREENVILLE ST
ANDERSON, SC 29621
(864) 332-3098
1013468404CENTERWELL PHARMACY, INC.
Organization
Pharmacy (Community/Retail Pharmacy)2001 E GREENVILLE ST
ANDERSON, SC 29621
(864) 332-3101
1437944196 JANIE WEATHERMAN LINDLEY FNP
Individual
Nurse Practitioner (Family)2001 E GREENVILLE ST
ANDERSON, SC 29621
(864) 571-2203

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710341144, enumerated in the NPI registry as an "organization" on April 12, 2016

The provider is located at 2001 E Greenville St Anderson, Sc 29621 and the phone number is (864) 332-3098

This medical organization specializes in Internal Medicine with taxonomy code 207R00000X

The provider's CLIA number is 42D2114508 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 April 12, 2016. 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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