SPARTANBURG REGIONAL HEALTHCARE SYSTEM
NPI 1750352332
Family Medicine - Geriatric Medicine in Spartanburg, SC
NPI Status: Active since January 31, 2006
Contact Information
120 HEYWOOD AVE
SPARTANBURG, SC
ZIP 29302
Phone: (864) 560-3860
Fax: (864) 560-3712
- Organization
- Family Medicine
- Geriatric Medicine
- CLIA Number: 42D0910410
- CLIA Cert. Type: Home Health Agency
- CLIA Exp. Date: 01-07-2026
About SPARTANBURG REGIONAL HEALTHCARE SYSTEM
This page provides the complete NPI Profile along with additional information for Spartanburg Regional Healthcare System, a primary care provider established in Spartanburg, South Carolina operating as a Family Medicine, focusing in geriatric medicine . The healthcare provider is registered in the NPI registry with number 1750352332 assigned on January 2006. The practitioner's primary taxonomy code is 207QG0300X with license number 22026 (SC). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Edward Warren Md (Physician)
- NPI
- 1750352332
- Provider Name
- SPARTANBURG REGIONAL HEALTHCARE SYSTEM
- Entity Type
- Organization
- Location Address
- 120 HEYWOOD AVE SPARTANBURG, SC 29302
- Location Phone
- (864) 560-3860
- Location Fax
- (864) 560-3712
- Mailing Address
- 120 HEYWOOD AVE SPARTANBURG, SC 29302
- Mailing Phone
- (864) 560-3860
- Mailing Fax
- (864) 560-3712
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-31-2006
- Last Update Date
- 08-22-2020
- Code Navigator
A primary care provider (PCP) like Spartanburg Regional Healthcare System 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 Geriatric Medicine
- Taxonomy Code
- 207QG0300X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 22026
- License State
- SC
- Taxonomy Description
- A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
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.
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 |
|---|---|---|---|
| T62508 | MEDICAID (05) | SC |
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
- 42D0910410
- Facility Type
- Home Health Agency
- Certificate Effective Date
- January 08, 2024
- Certificate Expiration Date
- January 07, 2026
- Laboratory Director
- KRISTI MELTON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Spartanburg Regional Healthcare System 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 | 7 | 5 | 0 | 3 | 5 | 2 | 3 | 3 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 6 | 5 | 4 | 3 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 6 + 5 + 4 + 3 + 6 + 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 1750352332 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 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1770553257 | D MARK HICKLIN M. D. Individual | Family Medicine | 120 HEYWOOD AVE SUITE 200 SPARTANBURG, SC 29302 (864) 573-9595 |
| 1427020239 | PATRICIA MCROBBIE MD Individual | Family Medicine (Geriatric Medicine) | 120 HEYWOOD AVE SUITE 200 SPARTANBURG, SC 29302 (864) 560-3800 |
| 1942241781 | SPARTANBURG REGIONAL MED CTR Organization | Family Medicine | 120 HEYWOOD AVE SUITE 200 SPARTANBURG, SC 29302 (864) 560-3800 |
| 1003900143 | SPARTANBURG MEDICAL CENTER Organization | Family Medicine | 120 HEYWOOD AVE SUITE 200 SPARTANBURG, SC 29302 (864) 573-9595 |
| 1356393680 | GEORGE LISTON BASS MD Individual | Internal Medicine | 120 HEYWOOD AVE STE 200 SPARTANBURG, SC 29302 (864) 573-9595 |
| 1558381541 | SPARTANBURG MEDICAL CENTER Organization | Home Health | 120 HEYWOOD AVE SUITE 300 SPARTANBURG, SC 29302 (864) 560-3900 |
| 1336111590 | SPARTANBURG REGIONAL HEALTHCARE SYSTEM Organization | Nurse Practitioner (Gerontology) | 120 HEYWOOD AVE SUITE 300 SPARTANBURG, SC 29302 (864) 560-3860 |
| 1396717682 | SPARTANBURG REGIONAL HEALTHCARE SYSTEM Organization | Family Medicine (Geriatric Medicine) | 120 HEYWOOD AVE SUITE 300 SPARTANBURG, SC 29302 (864) 560-3860 |
| 1851332696 | SPARTANBURG REGIONAL MED CTR Organization | Family Medicine (Geriatric Medicine) | 120 HEYWOOD AVE SPARTANBURG, SC 29302 (864) 560-3861 |
| 1356476584 | SPARTANBURG REGIONAL HEALTHCARE DISTRICT Organization | Durable Medical Equipment & Medical Supplies | 120 HEYWOOD AVE SUITE 400 SPARTANBURG, SC 29302 (864) 560-3900 |
| 1184694168 | SCOTT A COLEY M. D. Individual | Family Medicine | 120 HEYWOOD AVE SUITE 200 SPARTANBURG, SC 29302 (864) 573-9595 |
| 1306000948 | DR. VINCENT C SLATER D.O. Individual | Family Medicine | 120 HEYWOOD AVE SPARTANBURG, SC 29302 (864) 573-9595 |
| 1194779017 | PHILIP A MAHONEY JR. MD Individual | Family Medicine | 120 HEYWOOD AVE SPARTANBURG, SC 29302 (864) 562-5102 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750352332, enumerated in the NPI registry as an "organization" on January 31, 2006
The provider is located at 120 Heywood Ave Spartanburg, Sc 29302 and the phone number is (864) 560-3860
This medical organization specializes in Family Medicine with taxonomy code 207QG0300X with a focus in Geriatric Medicine
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 42D0910410 for a "home health agency" 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 January 31, 2006. 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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