PRISMA HEALTH KIDNETICS-MEDICAID
NPI 1336695436
Clinic/Center - Developmental Disabilities in Greenville, SC
NPI Status: Active since August 29, 2016
Contact Information
29 N ACADEMY ST
GREENVILLE, SC
ZIP 29601
Phone: (864) 331-1350
- Organization
- Clinic/Center
- Developmental Disabilities
- Accepts Insurance
About PRISMA HEALTH KIDNETICS-MEDICAID
This page provides the complete NPI Profile along with additional information for Prisma Health Kidnetics-medicaid, a provider established in Greenville, South Carolina operating as a Clinic/center, focusing in developmental disabilities . The healthcare provider is registered in the NPI registry with number 1336695436 assigned on August 2016. The practitioner's primary taxonomy code is 261QD1600X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Prisma Health Kidnetics-medicaid. The authorized official of this NPI record is Polly H. Miller (Vp Payor Strategies & Alignment)
- NPI
- 1336695436
- Provider Legal Name
- PRISMA HEALTH-UPSTATE
- Other Organization Name
- PRISMA HEALTH KIDNETICS-MEDICAID
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 29 N ACADEMY ST GREENVILLE, SC 29601
- Location Phone
- (864) 331-1350
- Mailing Address
- 300 E MCBEE AVE FL 4 GREENVILLE, SC 29601
- Mailing Phone
- (864) 455-7000
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-29-2016
- Last Update Date
- 02-04-2021
- Code Navigator
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 Developmental Disabilities
- Taxonomy Code
- 261QD1600X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Direction Silver 1 - POS
- Blue Direction Silver 1 + Adult Vision - POS
- Blue Direction Silver 2 - POS
- Blue Direction Standard Gold - POS
- Blue Direction Standard Silver - POS
- Blue Reedy Bronze 1 - HMO
- Blue Reedy Bronze 2 - HMO
- Blue Reedy Gold 1 - HMO
- Blue Reedy Silver 1 - HMO
- Blue Reedy Silver 2 - HMO
- Blue Reedy Silver 2 + Adult Vision - HMO
- Blue Reedy Standard Expanded Bronze - HMO
- Blue Reedy Standard Gold - HMO
- Blue Reedy Standard Silver - HMO
- Blue VirtuConnect Bronze 1 - EPO
- Blue VirtuConnect Gold 1 - EPO
- Blue VirtuConnect Silver 1 - EPO
- BlueEssentials Bronze 4 - EPO
- BlueEssentials Bronze 6 - EPO
- BlueEssentials Catastrophic 1 - EPO
- InHealth Basic 1 - HMO
- InHealth Basic 1 + Adult Vision - HMO
- InHealth Basic 2 - HMO
- InHealth Basic Plus Standard - HMO
- InHealth Basic Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Reviews for PRISMA HEALTH KIDNETICS-MEDICAID
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 6 | 9 | 5 | 4 | 3 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 12 | 9 | 10 | 4 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 1 + 2 + 9 + 1 + 0 + 4 + 6 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1336695436 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DRU ANNE FILTER SPEECH
Speech-Language Pathologist
29 N ACADEMY ST
GREENVILLE, SC
ZIP 29601
JULIE MARIE LAUBER OT
Occupational Therapist
29 N ACADEMY ST
GREENVILLE, SC
ZIP 29601
LARAMIE JOY PARAS PT
Physical Therapist
29 N ACADEMY ST
GREENVILLE, SC
ZIP 29601
DEBRAH ELAINE KINGSBURY OT
Occupational Therapist
29 N ACADEMY ST
GREENVILLE, SC
ZIP 29601
JOCELYN R KEEFER OT
Occupational Therapist
29 N ACADEMY ST
GREENVILLE, SC
ZIP 29601
KRISTEN CALHOUN COLLINS SPEECH PATHOLOGIST
Speech-Language Pathologist
29 N ACADEMY ST
GREENVILLE, SC
ZIP 29601
PIOTR ZWOLSKI PHYSICAL THERAPIST
Physical Therapist
29 N ACADEMY ST
GREENVILLE, SC
ZIP 29601
KACIE T. TERRELL P.T.
Physical Therapist
29 N ACADEMY ST
GREENVILLE, SC
ZIP 29601
MRS. MOLLIE R MANOLAKIS SLP
Speech-Language Pathologist
29 N ACADEMY ST
GREENVILLE, SC
ZIP 29601
PAIGE A. COMBS OT
Occupational Therapist
29 N ACADEMY ST
GREENVILLE, SC
ZIP 29601
JENNA B. SHIVE PT
Physical Therapist
29 N ACADEMY ST
GREENVILLE, SC
ZIP 29601
CHERYL SMITH SLP
Speech-Language Pathologist
29 N ACADEMY ST
GREENVILLE, SC
ZIP 29601
MARJORIE L. FOTINOS SLP
Speech-Language Pathologist
29 N ACADEMY ST
GREENVILLE, SC
ZIP 29601
SUSAN L. WILLIAMS SLP
Speech-Language Pathologist
29 N ACADEMY ST
GREENVILLE, SC
ZIP 29601
DR. ANNA WILLIAMS HUNT PHD
Psychologist
(School)
29 N ACADEMY ST
GREENVILLE, SC
ZIP 29601
KAREN ASHLEY WILLIAMS BENTON MSP, CCC-SLP
Speech-Language Pathologist
29 N ACADEMY ST
GREENVILLE, SC
ZIP 29601
MS. STEPHANIE A. DUNCAN MOT, OTR/L
Occupational Therapist
29 N ACADEMY ST
GREENVILLE, SC
ZIP 29601
LESLEY J. MRACHEK
Physical Therapist
29 N ACADEMY ST
GREENVILLE, SC
ZIP 29601
SHANNON B. HOYT SLP
Speech-Language Pathologist
29 N ACADEMY ST
GREENVILLE, SC
ZIP 29601
MRS. LAUREN ELIZABETH JACKSON M.S., CCC-SLP
Speech-Language Pathologist
29 N ACADEMY ST
GREENVILLE, SC
ZIP 29601
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336695436, enumerated as an "organization" on August 29, 2016.
The provider is located at 29 N ACADEMY ST GREENVILLE, SC 29601 and the phone number is (864) 331-1350.
Clinic/Center with taxonomy code 261QD1600X and a focus in Developmental Disabilities.
The provider might be accepting Accepts: BlueCross BlueShield of South Carolina and InStil. Please consult your insurance carrier or call the provider to verify.
