THE SOUTHEASTERN SPINE INSTITUTE AMBULATORY SURGERY CENTER, LLC
NPI 1124150297
Clinic/Center - Ambulatory Surgical in Mt Pleasant, SC

NPI Status: Active since March 12, 2007

Contact Information

1106 CHUCK DAWLEY BLVD
MT PLEASANT, SC
ZIP 29464
Phone: (843) 669-5162
Fax: (843) 667-4573

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance

About THE SOUTHEASTERN SPINE INSTITUTE AMBULATORY SURGERY CENTER, LLC

This page provides the complete NPI Profile along with additional information for The Southeastern Spine Institute Ambulatory Surgery Center, Llc, a provider established in Mt Pleasant, South Carolina operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1124150297 assigned on March 2007. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Donald R Johnson Ii Md (President)

NPI
1124150297
Provider Name
THE SOUTHEASTERN SPINE INSTITUTE AMBULATORY SURGERY CENTER, LLC
Entity Type
Organization
Location Address
1106 CHUCK DAWLEY BLVD MT PLEASANT, SC 29464
Location Phone
(843) 669-5162
Location Fax
(843) 667-4573
Mailing Address
217 DOZIER BLVD SUITE 100 FLORENCE, SC 29501
Mailing Phone
(843) 669-5162
Mailing Fax
(843) 667-4573
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-12-2007
Last Update Date
08-22-2020
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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

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License State
SC

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • UHC Bronze Copay Focus $0 Indiv Med Ded - HMO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded (Dental + Vision) - HMO
  • UHC Bronze Essential - HMO
  • UHC Bronze Essential- - HMO
  • UHC Bronze Standard - HMO
  • UHC Bronze Standard Plus Chiro - HMO
  • UHC Gold Advantage - HMO
  • UHC Gold Advantage+ (Dental + Vision) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded - HMO
  • UHC Gold Standard - HMO
  • UHC Gold Standard Plus Chiro - HMO
  • UHC Silver Advantage - HMO
  • UHC Silver Advantage+ (Dental + Vision) - HMO
  • UHC Silver Copay Focus $0 Indiv Med Ded - HMO
  • UHC Silver Standard - HMO
  • UHC Silver Standard- - HMO
  • UHC Silver Standard Plus Chiro - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

DONALD R JOHNSON II MD

Authorized Official Title
PRESIDENT
Authorized Official Phone

Reviews for THE SOUTHEASTERN SPINE INSTITUTE AMBULATORY SURGERY CENTER, LLC

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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 1124150297, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

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
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
5
Unchanged
Pos 7
0
Doubled → 0
Pos 8
2
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
7
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 2 → 4 1 → 2 0 → 0 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 4 + 4 + 2 + 5 + 0 + 2 + 1 + 8 + 24 = 53

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

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1124150297.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1106 CHUCK DAWLEY BLVD, SUITE 100
MOUNT PLEASANT, SC 29464
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1106 CHUCK DAWLEY BLVD, SUITE 200
MT PLEASANT, SC 29464
Physical Medicine & Rehabilitation
1106 CHUCK DAWLEY BLVD, SUITE 200
MT PLEASANT, SC 29464
Physical Medicine & Rehabilitation
1106 CHUCK DAWLEY BLVD, SUITE 200
MT PLEASANT, SC 29464
Physical Medicine & Rehabilitation
1106 CHUCK DAWLEY BLVD, SUITE200
MT PLEASANT, SC 29464
Physical Therapist
1106 CHUCK DAWLEY BLVD, SUITE 201
MT PLEASANT, SC 29464
Physical Therapist
1106 CHUCK DAWLEY BLVD
MT PLEASANT, SC 29464
Physical Therapist
1106 CHUCK DAWLEY BLVD
MT PLEASANT, SC 29464
Orthopaedic Surgery (Sports Medicine)
1106 CHUCK DAWLEY BLVD
MOUNT PLEASANT, SC 29464

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124150297, enumerated as an "organization" on March 12, 2007.

The provider is located at 1106 CHUCK DAWLEY BLVD MT PLEASANT, SC 29464 and the phone number is (843) 669-5162.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.