SOUTH CAROLINA PROVIDER SERVICES, LLC
NPI 1003413469
Nurse Practitioner - Adult Health in Clemson, SC
NPI Status: Active since October 07, 2020
Contact Information
500 DOWNS LOOP
CLEMSON, SC
ZIP 29631
Phone: (864) 650-7475
- Organization
- Nurse Practitioner
- Adult Health
About SOUTH CAROLINA PROVIDER SERVICES, LLC
This page provides the complete NPI Profile along with additional information for South Carolina Provider Services, Llc, a provider established in Clemson, South Carolina operating as a Nurse Practitioner, focusing in adult health . The healthcare provider is registered in the NPI registry with number 1003413469 assigned on October 2020. The practitioner's primary taxonomy code is 363LA2200X. The provider is registered as an organization and their NPI record was last updated April 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Gwendell Mcdaniel Kelley Aprn (Owner)
- NPI
- 1003413469
- Provider Name
- SOUTH CAROLINA PROVIDER SERVICES, LLC
- Entity Type
- Organization
- Location Address
- 500 DOWNS LOOP CLEMSON, SC 29631
- Location Phone
- (864) 650-7475
- Mailing Address
- 200 BROWNING RD CENTRAL, SC 29630
- Mailing Phone
- (864) 650-7475
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-07-2020
- Last Update Date
- 04-16-2026
- Code Navigator
A nurse practitioner (NP) like South Carolina Provider Services, Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Secondary Locations
- 701 Simpson Rd
Anderson, SC 29621
(864) 226-5505 - 999 W Union Rd
West Union, SC 29696
(864) 638-4370 - 123 Couch Ln
Easley, SC 29642
(864) 859-3303 - 515 Benton St
Seneca, SC 29672
(864) 888-4114 - 214 McGee Rd
Anderson, SC 29625
(864) 260-4515 - 107 Perpetual Sq
Anderson, SC 29621
(864) 712-4522
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
Nurse Practitioner Adult Health
- Taxonomy Code
- 363LA2200X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
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.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1003413469, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 51 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 17 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003413469, enumerated as an "organization" on October 07, 2020.
The provider is located at 500 DOWNS LOOP CLEMSON, SC 29631 and the phone number is (864) 650-7475.
Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.
