FAMILY MEDICINE CENTER
NPI 1215110697
Family Medicine in Saint George, SC

NPI Status: Active since December 09, 2007

Contact Information

109 DUKES ST
SAINT GEORGE, SC
ZIP 29477
Phone: (843) 563-2484

Get Directions Write a Review

  • Organization
  • Family Medicine
  • Accepts Insurance
  • CLIA Number: 42D0694880
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-17-2026

About FAMILY MEDICINE CENTER

This page provides the complete NPI Profile along with additional information for Family Medicine Center, a primary care provider established in Saint George, South Carolina operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1215110697 assigned on December 2007. The practitioner's primary taxonomy code is 207Q00000X with license number 11810 (SC). The provider is registered as an organization and their NPI record was last updated 15 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 is doing business as Family Medicine Center. The authorized official of this NPI record is Cecil Bryan Jordan Ii Md (Owner)

NPI
1215110697
Provider Legal Name
CECIL BRYAN JORDAN II
Other Organization Name
FAMILY MEDICINE CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
109 DUKES ST SAINT GEORGE, SC 29477
Location Phone
(843) 563-2484
Mailing Address
109 DUKES ST SAINT GEORGE, SC 29477
Mailing Phone
(843) 563-2484
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-09-2007
Last Update Date
11-14-2011
Code Navigator

A primary care provider (PCP) like Family Medicine Center 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
11810
License State
SC
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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 Direction Bronze 1 - POS
  • Blue Direction Silver 1 - POS
  • Blue Direction Silver 1 + Adult Vision - POS
  • Blue Direction Silver 2 - POS
  • Blue Direction Standard Expanded Bronze - POS
  • Blue Direction Standard Gold - POS
  • Blue Direction Standard Silver - POS
  • Blue VirtuConnect Bronze 1 - EPO
  • Blue VirtuConnect Gold 1 - EPO
  • Blue VirtuConnect Silver 1 - EPO
  • BlueEssentials Bronze 4 - EPO
  • BlueEssentials Bronze 6 - EPO
  • BlueEssentials Gold 1 - EPO
  • BlueEssentials Gold 5 - EPO
  • BlueEssentials Silver 14 - EPO
  • BlueEssentials Silver 14 + Adult Vision - EPO
  • BlueEssentials Silver 40 - EPO
  • BlueEssentials Standard Expanded Bronze - EPO
  • BlueEssentials Standard Gold - EPO
  • BlueEssentials Standard Silver - EPO

*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

CECIL BRYAN JORDAN II MD

Authorized Official Title
OWNER
Authorized Official Phone
(843) 563-2484

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
42D0694880
Facility Type
Physician Office
Certificate Effective Date
May 18, 2024
Certificate Expiration Date
May 17, 2026
Laboratory Director
C B. JORDAN
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Family Medicine Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for FAMILY MEDICINE CENTER

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1215110697, 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
2
Unchanged
Pos 3
1
Doubled → 2
Pos 4
5
Unchanged
Pos 5
1
Doubled → 2
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
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 1 → 2 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 + 2 + 2 + 5 + 2 + 1 + 0 + 6 + 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 1215110697.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Nurse Practitioner
109 DUKES ST
ST GEORGE, SC 29477
Family Medicine
109 DUKES ST
ST GEORGE, SC 29477

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215110697, enumerated as an "organization" on December 09, 2007.

The provider is located at 109 DUKES ST SAINT GEORGE, SC 29477 and the phone number is (843) 563-2484.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: BlueCross BlueShield of South Carolina. Please consult your insurance carrier or call the provider to verify.