BON SECOURS MEDICAL GROUP SPORTS & EXERCISE MEDICINE
NPI 1750608980
Family Medicine - Sports Medicine in Greenville, SC
NPI Status: Active since April 28, 2010
Contact Information
2 INNOVATION DR
SUITE 250
GREENVILLE, SC
ZIP 29607
Phone: (864) 255-1554
Fax: (864) 679-8972
- Organization
- Family Medicine
- Sports Medicine
- CLIA Number: 42D2014930
- CLIA Cert. Type: Other - AMBULATORY URGENT CARE
- CLIA Exp. Date: 05-25-2026
About BON SECOURS MEDICAL GROUP SPORTS & EXERCISE MEDICINE
This page provides the complete NPI Profile along with additional information for Bon Secours Medical Group Sports & Exercise Medicine, a primary care provider established in Greenville, South Carolina operating as a Family Medicine, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1750608980 assigned on April 2010. The practitioner's primary taxonomy code is 207QS0010X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Bon Secours Medical Group Sports & Exercise Medicine 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 Bon Secours Medical Group Sports & Exercise Medicine. The authorized official of this NPI record is Wilbur R Gay Iii (Vice President Of Finance-bsmg)
- NPI
- 1750608980
- Provider Legal Name
- ST. FRANCIS PHYSICIAN SERVICES INC
- Other Organization Name
- BON SECOURS MEDICAL GROUP SPORTS & EXERCISE MEDICINE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2 INNOVATION DR SUITE 250 GREENVILLE, SC 29607
- Location Phone
- (864) 255-1554
- Location Fax
- (864) 679-8972
- Mailing Address
- PO BOX 25039 GREENVILLE, SC 29616
- Mailing Phone
- (864) 255-1554
- Mailing Fax
- (864) 679-8972
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 04-28-2010
- Last Update Date
- 07-17-2016
- Code Navigator
A primary care provider (PCP) like Bon Secours Medical Group Sports & Exercise 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 Sports Medicine
- Taxonomy Code
- 207QS0010X
- Type
- Allopathic & Osteopathic Physicians
- License State
- SC
- Taxonomy Description
- A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
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:
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 |
|---|---|---|---|
| 8157 | MEDICARE PIN (08) | 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
- 42D2014930
- Facility Type
- Other - AMBULATORY URGENT CARE
- Certificate Effective Date
- May 26, 2024
- Certificate Expiration Date
- May 25, 2026
- Laboratory Director
- DR. MATTHEW DELFINO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Bon Secours Medical Group Sports & Exercise Medicine 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 BON SECOURS MEDICAL GROUP SPORTS & EXERCISE MEDICINE
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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 | 6 | 0 | 8 | 9 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 12 | 0 | 16 | 9 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 1 + 2 + 0 + 1 + 6 + 9 + 1 + 6 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1750608980 is valid because the calculated check digit 0 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 |
|---|---|---|---|
| 1699767277 | BRAD M SIMPSON M.D. Individual | Internal Medicine (Cardiovascular Disease) | 2 INNOVATION DR SUITE 400 GREENVILLE, SC 29607 (864) 235-7665 |
| 1598757171 | A. THOMAS SIACHOS M.D. Individual | Internal Medicine (Cardiovascular Disease) | 2 INNOVATION DR SUITE 400 GREENVILLE, SC 29607 (864) 235-7665 |
| 1134111727 | JON M. BITTRICK M.D. Individual | Internal Medicine (Cardiovascular Disease) | 2 INNOVATION DR SUITE 400 GREENVILLE, SC 29607 (864) 235-7665 |
| 1679565279 | GREGORY W. SAN M.D. Individual | Internal Medicine (Cardiovascular Disease) | 2 INNOVATION DR SUITE 400 GREENVILLE, SC 29607 (864) 235-7665 |
| 1396737995 | BARBARA A MORAN-FAILE M.D. Individual | Internal Medicine (Cardiovascular Disease) | 2 INNOVATION DR SUITE 400 GREENVILLE, SC 29607 (864) 235-7665 |
| 1740272392 | STEVEN D JOHNSON M.D. Individual | Internal Medicine (Cardiovascular Disease) | 2 INNOVATION DR SUITE 40 GREENVILLE, SC 29607 (864) 235-7665 |
| 1154313716 | MORRIS E WILLIAMS JR. MD Individual | Internal Medicine (Cardiovascular Disease) | 2 INNOVATION DR SUITE 400 GREENVILLE, SC 29607 (864) 235-7665 |
| 1063404622 | MICHAEL W PAYNE M.D. Individual | Internal Medicine (Cardiovascular Disease) | 2 INNOVATION DR SUITE 400 GREENVILLE, SC 29607 (864) 235-7665 |
| 1972595536 | JOHN E. CEBE M.D. Individual | Internal Medicine (Cardiovascular Disease) | 2 INNOVATION DR SUITE 400 GREENVILLE, SC 29607 (864) 235-7665 |
| 1083606644 | LAWRENCE W FREEMAN M.D. Individual | Internal Medicine (Cardiovascular Disease) | 2 INNOVATION DR SUITE 400 GREENVILLE, SC 29607 (864) 235-7665 |
| 1396737854 | CHARLES D ROSS M.D. Individual | Internal Medicine (Cardiovascular Disease) | 2 INNOVATION DR SUITE 400 GREENVILLE, SC 29607 (864) 235-7665 |
| 1841283173 | UPSTATE CARDIOLOGY PA Organization | Internal Medicine (Cardiovascular Disease) | 2 INNOVATION DR SUITE 400 GREENVILLE, SC 29607 (864) 835-7665 |
| 1639288251 | PAMELA ANN STAMPFLI FNP Individual | Nurse Practitioner | 2 INNOVATION DR SUITE140 GREENVILLE, SC 29607 (864) 295-1750 |
| 1265540215 | MICHAEL D CADE FNP Individual | Nurse Practitioner | 2 INNOVATION DR SUITE 40 GREENVILLE, SC 29607 (864) 235-7665 |
| 1447361241 | JAMES L ANDERSON III MD Individual | Internal Medicine | 2 INNOVATION DR SUITE 140 GREENVILLE, SC 29607 (864) 295-1750 |
| 1013094234 | DR. EDWARD ALLEN STEWART D.O. Individual | Internal Medicine (Cardiovascular Disease) | 2 INNOVATION DR SUITE 400 GREENVILLE, SC 29607 (864) 235-7665 |
| 1073837191 | ST FRANCIS PHYSICIAN SERVICES Organization | Internal Medicine | 2 INNOVATION DR SUITE 180 GREENVILLE, SC 29607 (864) 255-1800 |
| 1639518343 | MELISSA ALLISON PHILLIPS FNP Individual | Nurse Practitioner (Family) | 2 INNOVATION DR STE 400 GREENVILLE, SC 29607 (864) 235-7665 |
| 1417163064 | DR. SHAWN KARL MATHIAS M.D Individual | Internal Medicine (Cardiovascular Disease) | 2 INNOVATION DR SUITE 400 GREENVILLE, SC 29607 (864) 235-7665 |
| 1730554114 | KATRINA ELISE WATERS RD, LD Individual | Dietitian, Registered | 2 INNOVATION DR SUITE 350 GREENVILLE, SC 29607 (864) 400-3608 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750608980, enumerated in the NPI registry as an "organization" on April 28, 2010
The provider is located at 2 Innovation Dr Suite 250 Greenville, Sc 29607 and the phone number is (864) 255-1554
This medical organization specializes in Family Medicine with taxonomy code 207QS0010X with a focus in Sports 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 42D2014930 for a "other - ambulatory 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 April 28, 2010. 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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