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EMBER MODERN MEDICINE
NPI 1295465763
Family Medicine in Greenville, SC

Active since June 16, 2022CLIA 42D2210767 · Microscopy
1068 N CHURCH ST STE 101, GREENVILLE, SC 29601(864) 702-2365(864) 474-4109 Get Directions Write a Review

NPPES record last updated: June 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ember Modern Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMBER MODERN MEDICINE (NPI 1295465763) is a healthcare organization registered as a family medicine in Greenville, South Carolina and active in the NPI registry since June 2022. The organization holds a CLIA Microscopy certificate valid through January 21, 2027 and lists Brian Blank, Owner, as its authorized official.

NPPES Registry Identity

NPI1295465763
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEMBER MODERN MEDICINE
Location Address1068 N CHURCH ST STE 101Greenville, SC 29601-1769
Mailing Address1068 N Church St Ste 101Greenville, SC 29601-1769 · (864) 702-2365 · Fax (864) 474-4109
Phone(864) 702-2365
Fax(864) 474-4109
Organization SubpartNo
Authorized OfficialBrian BlankOwner · (864) 702-2365
Enumeration DateJune 16, 2022
NPPES CertifiedJune 16, 2022
✔ NPI 1295465763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
1068 N CHURCH ST STE 101, Greenville, SC 29601
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 42D2210767

Ember Modern Medicine · Greenville, SC
Active · expires Jan 21, 2027
CLIA Number42D2210767
Laboratory TypePhysician Office
Certificate Effective DateJanuary 22, 2025
Certificate Expiration DateJanuary 21, 2027
Laboratory DirectorBrian M. Blank
Laboratory Phone(864) 608-6698
Laboratory LocationEmber Modern Medicine1068 North Church Street, Greenville, SC 29601
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIAN MATTHEW BLANK M.D.
Family Medicine
1068 N CHURCH ST STE 101
GREENVILLE, SC 29601
Greenville County (864) 702-2365

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ember Modern Medicine's NPI number?

The NPI number for Ember Modern Medicine is 1295465763. It was assigned to this organization in the NPPES registry on June 16, 2022.

Where is Ember Modern Medicine located?

Ember Modern Medicine is located at 1068 N Church St Ste 101, Greenville, SC 29601. The listed phone number is (864) 702-2365.

What is Ember Modern Medicine's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Ember Modern Medicine hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 42D2210767) is associated with this NPI, valid through January 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ember Modern Medicine was last updated on June 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.