MEDICAL GROUP OF THE CAROLINAS- IMMEDIATE CARE CENTER- REIDVILLE ROAD
NPI 1760951867
Family Medicine in Spartanburg, SC
NPI Status: Active since November 19, 2018
Contact Information
2995 REIDVILLE RD STE 100
SPARTANBURG, SC
ZIP 29301
Phone: (864) 587-3000
Fax: (864) 587-3019
- Organization
- Family Medicine
- Accepts Insurance
- CLIA Number: 42D0716181
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-22-2025
About MEDICAL GROUP OF THE CAROLINAS- IMMEDIATE CARE CENTER- REIDVILLE ROAD
This page provides the complete NPI Profile along with additional information for Medical Group Of The Carolinas- Immediate Care Center- Reidville Road, a primary care provider established in Spartanburg, South Carolina operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1760951867 assigned on November 2018. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 6 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 provider's is doing business as Medical Group Of The Carolinas- Immediate Care Center- Reidville Road. The authorized official of this NPI record is Kenneth J Meinke (Chief Financial Officer)
- NPI
- 1760951867
- Provider Legal Name
- SPARTANBURG MEDICAL CENTER
- Other Organization Name
- MEDICAL GROUP OF THE CAROLINAS- IMMEDIATE CARE CENTER- REIDVILLE ROAD
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2995 REIDVILLE RD STE 100 SPARTANBURG, SC 29301
- Location Phone
- (864) 587-3000
- Location Fax
- (864) 587-3019
- Mailing Address
- PO BOX 743070 ATLANTA, GA 30374
- Mailing Phone
- (864) 560-4304
- Mailing Fax
- (864) 587-3019
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-19-2018
- Last Update Date
- 03-13-2019
- Code Navigator
A primary care provider (PCP) like Medical Group Of The Carolinas- Immediate Care Center- Reidville Road 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
- 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 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:
- 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
- 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
- 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
- First Choice Next Bronze Essential - HMO
- First Choice Next Bronze Premier - HMO
- First Choice Next Bronze Signature - HMO
- First Choice Next Gold Deluxe - HMO
- First Choice Next Gold Signature - HMO
- First Choice Next Silver Deluxe - HMO
- First Choice Next Silver Premier - HMO
- First Choice Next Silver Signature - HMO
- InHealth Basic 1 - HMO
- InHealth Basic 1 + Adult Vision - HMO
- InHealth Basic 2 - HMO
- InHealth Basic Plus Standard - HMO
- InHealth Basic Standard - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 - HMO
- Silver 8 - 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.
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 |
|---|---|---|---|
| GP8771 | MEDICAID (05) | SC | |
| 6084 | OTHER (01) | SC | MEDICARE PIN |
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
- 42D0716181
- Facility Type
- Physician Office
- Certificate Effective Date
- December 23, 2023
- Certificate Expiration Date
- December 22, 2025
- Laboratory Director
- DR. EDWARD KATEMBA
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Medical Group Of The Carolinas- Immediate Care Center- Reidville Road on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
Reviews for MEDICAL GROUP OF THE CAROLINAS- IMMEDIATE CARE CENTER- REIDVILLE ROAD
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 | 6 | 0 | 9 | 5 | 1 | 8 | 6 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 12 | 0 | 18 | 5 | 2 | 8 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 2 + 0 + 1 + 8 + 5 + 2 + 8 + 1 + 2 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1760951867 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1982612925 | MARY BLACK HEALTH SYSTEM LLC Organization | Family Medicine | 2995 REIDVILLE RD STE 100 SPARTANBURG, SC 29301 (864) 587-3000 |
| 1104892165 | DR. RANDALL STEVE STEWART MD Individual | General Practice | 2995 REIDVILLE RD STE 100 SPARTANBURG, SC 29301 (864) 587-3000 |
| 1043204266 | MS. ELIZABETH J YOUNGS NP Individual | Nurse Practitioner (Family) | 2995 REIDVILLE RD STE 100 SPARTANBURG, SC 29301 (864) 587-3000 |
| 1679556567 | SHERLEY BRITO FNP Individual | Nurse Practitioner (Family) | 2995 REIDVILLE RD STE 100 SPARTANBURG, SC 29301 (864) 587-3000 |
| 1952414690 | MS. MARY JEANNE WILLIAMS ANP Individual | Nurse Practitioner (Adult Health) | 2995 REIDVILLE RD STE 100 SPARTANBURG, SC 29301 (864) 587-3000 |
| 1265457691 | DEEPAK MALHAN M.D. Individual | Family Medicine | 2995 REIDVILLE RD STE 100 SPARTANBURG, SC 29301 (864) 587-3000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760951867, enumerated in the NPI registry as an "organization" on November 19, 2018
The provider is located at 2995 Reidville Rd Ste 100 Spartanburg, Sc 29301 and the phone number is (864) 587-3000
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.
The provider's CLIA number is 42D0716181 for a "physician office" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on November 19, 2018. 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.