MARY BLACK MINOR CARE
NPI 1104061688
Emergency Medicine - Emergency Medical Services in Spartanburg, SC

NPI Status: Active since December 11, 2008

Contact Information

2995 REIDVILLE RD
SPARTANBURG, SC
ZIP 29301
Phone: (864) 587-3000

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  • Organization
  • Emergency Medicine
  • Emergency Medical Services

About MARY BLACK MINOR CARE

This page provides the complete NPI Profile along with additional information for Mary Black Minor Care, a provider established in Spartanburg, South Carolina operating as a Emergency Medicine, focusing in emergency medical services . The healthcare provider is registered in the NPI registry with number 1104061688 assigned on December 2008. The practitioner's primary taxonomy code is 207PE0004X. The provider is registered as an organization and their NPI record was last updated 18 years ago. 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 provider's other name is Mary Black Minor Care. The authorized official of this NPI record is Debbie Brewer (Director Provider Enrollment)

NPI
1104061688
Provider Legal Name
MARY BLACK PHYSICIANS GROUP, LLC
Other Organization Name
MARY BLACK MINOR CARE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
2995 REIDVILLE RD SPARTANBURG, SC 29301
Location Phone
(864) 587-3000
Mailing Address
PO BOX 277827 ATLANTA, GA 30384
Mailing Phone
(864) 253-8080
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-11-2008
Last Update Date
12-11-2008
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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

Emergency Medicine Emergency Medical Services

Taxonomy Code
207PE0004X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

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.

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

DEBBIE BREWER

Authorized Official Title
DIRECTOR PROVIDER ENROLLMENT
Authorized Official Phone
(615) 465-7626

Reviews for MARY BLACK MINOR CARE

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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 1104061688, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
6
Unchanged
Pos 7
1
Doubled → 2
Pos 8
6
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
8
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 0 → 0 0 → 0 1 → 2 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 0 + 6 + 2 + 6 + 1 + 6 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1104061688.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Durable Medical Equipment & Medical Supplies
2995 REIDVILLE RD, SUITE 210
SPARTANBURG, SC 29301
Durable Medical Equipment & Medical Supplies
2995 REIDVILLE RD, SUITE 260
SPARTANBURG, SC 29301
Durable Medical Equipment & Medical Supplies
2995 REIDVILLE RD, STE 290
SPARTANBURG, SC 29301
Durable Medical Equipment & Medical Supplies
2995 REIDVILLE RD
SPARTANBURG, SC 29301
Internal Medicine
2995 REIDVILLE RD, SUITE 210
SPARTANBURG, SC 29301
Family Medicine
2995 REIDVILLE RD, SUITE 260
SPARTANBURG, SC 29301
Obstetrics & Gynecology
2995 REIDVILLE RD, SUITE 290
SPARTANBURG, SC 29301
Plastic Surgery
2995 REIDVILLE RD, SUITE 150
SPARTANBURG, SC 29301
Durable Medical Equipment & Medical Supplies
2995 REIDVILLE RD
SPARTANBURG, SC 29301
Nurse Practitioner (Family)
2995 REIDVILLE RD
SPARTANBURG, SC 29301
Plastic Surgery
2995 REIDVILLE RD, SUITE 150
SPARTANBURG, SC 29301
Radiology (Diagnostic Radiology)
2995 REIDVILLE RD, SUITE 130
SPARTANBURG, SC 29301
Family Medicine
2995 REIDVILLE RD, SUITE 210
SPARTANBURG, SC 29301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104061688, enumerated as an "organization" on December 11, 2008.

The provider is located at 2995 REIDVILLE RD SPARTANBURG, SC 29301 and the phone number is (864) 587-3000.

Emergency Medicine with taxonomy code 207PE0004X and a focus in Emergency Medical Services.