INDIAN LAND PEDIATRICS, LLC
NPI 1306118583
Pediatrics in Fort Mill, SC

NPI Status: Active since February 02, 2012

Contact Information

7580 CHARLOTTE HWY
SUITE 1000
FORT MILL, SC
ZIP 29707
Phone: (803) 396-1090
Fax: (803) 396-1091

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  • Organization
  • Pediatrics
  • CLIA Number: 42D2204683
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 12-09-2026

About INDIAN LAND PEDIATRICS, LLC

This page provides the complete NPI Profile along with additional information for Indian Land Pediatrics, Llc, a pediatrician established in Fort Mill, South Carolina operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1306118583 assigned on February 2012. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 14 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 Lucretia Ann Carter Md (Owner)

NPI
1306118583
Provider Name
INDIAN LAND PEDIATRICS, LLC
Entity Type
Organization
Location Address
7580 CHARLOTTE HWY SUITE 1000 FORT MILL, SC 29707
Location Phone
(803) 396-1090
Location Fax
(803) 396-1091
Mailing Address
7580 CHARLOTTE HWY SUITE 1000 FORT MILL, SC 29707
Mailing Phone
(803) 396-1090
Mailing Fax
(803) 396-1091
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-02-2012
Last Update Date
11-27-2012
Code Navigator

A pediatrician like Indian Land Pediatrics, Llc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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.

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

LUCRETIA ANN CARTER MD

Authorized Official Title
OWNER
Authorized Official Phone
(803) 396-1090

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
42D2204683
Facility Type
Pharmacy
Certificate Effective Date
December 10, 2024
Certificate Expiration Date
December 09, 2026
Laboratory Director
RONAK PATEL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Indian Land Pediatrics, Llc 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 1306118583, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
3
Unchanged
Pos 3
0
Doubled → 0
Pos 4
6
Unchanged
Pos 5
1
Doubled → 2
Pos 6
1
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
5
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
3
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 0 → 0 1 → 2 8 → 16 → 7 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 0 + 6 + 2 + 1 + 1 + 6 + 5 + 1 + 6 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1306118583.

Other Providers at the Same Location


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

Audiologist-Hearing Aid Fitter
7580 CHARLOTTE HWY, SUITE 400
INDIAN LAND, SC 29707
Physical Therapist
7580 CHARLOTTE HWY, SUITE 500
INDIAN LAND, SC 29707
Clinic/Center (Physical Therapy)
7580 CHARLOTTE HWY, SUITE 500
INDIAN LAND, SC 29707
Physical Therapist
7580 CHARLOTTE HWY, SUITE 1100
INDIAN LAND, SC 29707
Chiropractor
7580 CHARLOTTE HWY, SUITE 800
INDIAN LAND, SC 29707
Chiropractor
7580 CHARLOTTE HWY, SUITE 800
INDIAN LAND, SC 29707
Physical Therapist
7580 CHARLOTTE HWY, SUITE 1100
INDIAN LAND, SC 29707
Physical Therapist
7580 CHARLOTTE HWY, SUITE 1100
INDIAN LAND, SC 29707
Physical Therapist
7580 CHARLOTTE HWY, STE 500
INDIAN LAND, SC 29707

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306118583, enumerated as an "organization" on February 02, 2012.

The provider is located at 7580 CHARLOTTE HWY SUITE 1000 FORT MILL, SC 29707 and the phone number is (803) 396-1090.

Pediatrics with taxonomy code 208000000X.