PRISMA HEALTH UNIVERSITY MEDICAL GROUP
NPI 1114542081
Health Educator in Greenville, SC
NPI Status: Active since June 16, 2020
Contact Information
712 GROVE RD
GREENVILLE, SC
ZIP 29605
Phone: (864) 522-1439
Fax: (864) 522-1428
- Organization
- Health Educator
- Accepts Insurance
- CLIA Number: 42D1083402
- CLIA Cert. Type: Ancillary Testing Site in Health Care Center
- CLIA Exp. Date: 12-14-2025
About PRISMA HEALTH UNIVERSITY MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Prisma Health University Medical Group, a provider established in Greenville, South Carolina operating as a Health Educator. The healthcare provider is registered in the NPI registry with number 1114542081 assigned on June 2020. The practitioner's primary taxonomy code is 174H00000X. The provider is registered as an organization and their NPI record was last updated 6 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 authorized official of this NPI record is Kristi Ann Lawrence (Director)
- NPI
- 1114542081
- Provider Name
- PRISMA HEALTH UNIVERSITY MEDICAL GROUP
- Entity Type
- Organization
- Location Address
- 712 GROVE RD GREENVILLE, SC 29605
- Location Phone
- (864) 522-1439
- Location Fax
- (864) 522-1428
- Mailing Address
- 1 INDEPENDENCE PT STE 212 GREENVILLE, SC 29615
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-16-2020
- Last Update Date
- 06-16-2020
- Code Navigator
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
Health Educator
- Taxonomy Code
- 174H00000X
- Type
- Other Service Providers
- Taxonomy Description
- Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor's degree and may receive additional training, such as through mentoring, internships, or volunteer work.
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:
- Blue Reedy Bronze 1 - HMO
- Blue Reedy Bronze 2 - HMO
- Blue Reedy Gold 1 - HMO
- Blue Reedy Silver 1 - HMO
- Blue Reedy Silver 2 - HMO
- Blue Reedy Silver 2 + Adult Vision - HMO
- Blue Reedy Standard Expanded Bronze - HMO
- Blue Reedy Standard Gold - HMO
- Blue Reedy Standard Silver - HMO
- InHealth Basic 1 - HMO
- InHealth Basic 1 + Adult Vision - HMO
- InHealth Basic 2 - HMO
- InHealth Basic Plus Standard - HMO
- InHealth Basic Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
First medicare diabetes prevention program (mdpp) core session was attended by an mdpp beneficiary under the mdpp expanded model (em). a core session is an mdpp service that: (1) is furnished by an mdpp supplier during months 1 through 6 of the mdpp servic
Four total medicare diabetes prevention program (mdpp) core sessions were attended by an mdpp beneficiary under the mdpp expanded model (em). a core session is an mdpp service that: (1) is furnished by an mdpp supplier during months 1 through 6 of the mdpp
Nine total medicare diabetes prevention program (mdpp) core sessions were attended by an mdpp beneficiary under the mdpp expanded model (em). a core session is an mdpp service that: (1) is furnished by an mdpp supplier during months 1 through 6 of the mdpp
The mdpp beneficiary achieved at least 5% weight loss (wl) from his/her baseline weight in months 1-12 of the mdpp services period under the mdpp expanded model (em). this is a one-time payment available when a beneficiary first achieves at least 5% weight
Two medicare diabetes prevention program (mdpp) core maintenance sessions (ms) were attended by an mdpp beneficiary in months (mo) 7-9 under the mdpp expanded model (em). a core maintenance session is an mdpp service that: (1) is furnished by an mdpp suppl
The Medicare Diabetes Prevention Program (MDPP) is designed to prevent the onset of type 2 diabetes. The first core session attended by a beneficiary is part of the initial 6-month stage. These sessions, provided by an MDPP supplier, offer education and support to reduce diabetes risk.
This service was performed 23 times for 23 patientsThe Medicare Diabetes Prevention Program (MDPP) is a service designed to help beneficiaries prevent type 2 diabetes. Under the expanded model, a beneficiary attended four core sessions in the first 6 months. These sessions are provided by MDPP suppliers and offer guidance on healthy lifestyle changes.
This service was performed 21 times for 21 patientsThe Medicare Diabetes Prevention Program (MDPP) core sessions are educational services provided by MDPP suppliers during the first 6 months of the program. These sessions, attended by an MDPP beneficiary, help prevent diabetes by offering guidance on healthy lifestyle choices.
This service was performed 20 times for 20 patientsThe MDPP Expanded Model is a program that rewards weight loss. If a participant loses at least 5% of their baseline weight within the first year of the program, they receive a one-time payment. This incentive is only available the first time a participant achieves this weight loss goal.
This service was performed 14 times for 14 patientsThe Medicare Diabetes Prevention Program (MDPP) provides core maintenance sessions to help beneficiaries manage diabetes. In months 7-9, an MDPP beneficiary attended two of these sessions under the expanded model. These sessions, provided by an MDPP supplier, offer ongoing support for diabetes prevention.
This service was performed 11 times for 11 patientsCLIA 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
- 42D1083402
- Facility Type
- Ancillary Testing Site in Health Care Center
- Certificate Effective Date
- December 15, 2023
- Certificate Expiration Date
- December 14, 2025
- Laboratory Director
- DR. ROBERT A. FARRAR
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Prisma Health University Medical Group 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 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 1114542081, we treat the final digit (1) 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).
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 49 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
GREENVILLE, SC 29605
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114542081, enumerated as an "organization" on June 16, 2020.
The provider is located at 712 GROVE RD GREENVILLE, SC 29605 and the phone number is (864) 522-1439.
Health Educator with taxonomy code 174H00000X.
The provider might be accepting Accepts: BlueCross BlueShield of South Carolina and InStil. Please consult your insurance carrier or call the provider to verify.
