COLLETON INTERNAL MEDICINE
NPI 1164476735
Clinic/Center - Primary Care in Walterboro, SC

NPI Status: Active since May 19, 2006

Contact Information

415 B ROBERTSON BLVD
WALTERBORO, SC
ZIP 29488
Phone: (843) 542-9530
Fax: (843) 542-9532

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  • Organization
  • Clinic/Center
  • Primary Care
  • CLIA Number: 42D0251405
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 01-02-2027

About COLLETON INTERNAL MEDICINE

This page provides the complete NPI Profile along with additional information for Colleton Internal Medicine, a primary care provider established in Walterboro, South Carolina operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1164476735 assigned on May 2006. The practitioner's primary taxonomy code is 261QP2300X with license number 22695 (SC). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Colleton Internal Medicine. The authorized official of this NPI record is Peter S Carnohan Md (Physician)

NPI
1164476735
Provider Legal Name
PSC, INC
Other Organization Name
COLLETON INTERNAL MEDICINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
415 B ROBERTSON BLVD WALTERBORO, SC 29488
Location Phone
(843) 542-9530
Location Fax
(843) 542-9532
Mailing Address
415 B ROBERTSON BLVD WALTERBORO, SC 29488
Mailing Phone
(843) 542-9530
Mailing Fax
(843) 542-9532
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-19-2006
Last Update Date
06-20-2008
Code Navigator

A primary care provider (PCP) like Colleton Internal Medicine 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

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities
License No.
22695
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:

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.

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

PETER S CARNOHAN MD

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(843) 542-9530

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
8357MEDICARE PIN (08)SC 
H94240MEDICARE UPIN (02)SC 
GP4312MEDICAID (05)SC 

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
42D0251405
Facility Type
Hospital
Certificate Effective Date
January 03, 2025
Certificate Expiration Date
January 02, 2027
Laboratory Director
JOHN W. TURNER
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Colleton Internal Medicine 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 COLLETON INTERNAL MEDICINE

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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 1164476735, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
7
Unchanged
Pos 9
3
Doubled → 6
Check
5
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 6 → 12 → 3 4 → 8 6 → 12 → 3 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 2 + 4 + 8 + 7 + 1 + 2 + 7 + 6 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1164476735.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164476735, enumerated as an "organization" on May 19, 2006.

The provider is located at 415 B ROBERTSON BLVD WALTERBORO, SC 29488 and the phone number is (843) 542-9530.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

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