RMC PRIMARY CARE ST. MATTHEWS
NPI 1396976700
Clinic/Center - Rural Health in St Matthews, SC

NPI Status: Active since August 03, 2009

Contact Information

651A HARRY C RAYSOR DR
ST MATTHEWS, SC
ZIP 29135
Phone: (803) 395-3755
Fax: (803) 874-3905

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  • Organization
  • Clinic/Center
  • Rural Health
  • Accepts Insurance
  • CLIA Number: 42D0916819
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-04-2027

About RMC PRIMARY CARE ST. MATTHEWS

This page provides the complete NPI Profile along with additional information for Rmc Primary Care St. Matthews, a primary care provider established in St Matthews, South Carolina operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1396976700 assigned on August 2009. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 4 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 Rmc Primary Care St. Matthews. The authorized official of this NPI record is Christal Leann Fulmer (Revenue Integrity Manager)

NPI
1396976700
Provider Legal Name
EDISTO REGIONAL HEALTH SERVICES INC.
Other Organization Name
RMC PRIMARY CARE ST. MATTHEWS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
651A HARRY C RAYSOR DR ST MATTHEWS, SC 29135
Location Phone
(803) 395-3755
Location Fax
(803) 874-3905
Mailing Address
PO BOX 1245 ORANGEBURG, SC 29116
Mailing Phone
(803) 395-4497
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-03-2009
Last Update Date
07-21-2022
Code Navigator

A primary care provider (PCP) like Rmc Primary Care St. Matthews 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 Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities
License State
SC

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 

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:

  • First Choice Next Bronze Essential - HMO
  • First Choice Next Bronze Premier - HMO
  • First Choice Next Bronze Signature - HMO
  • First Choice Next Gold Premier - HMO
  • First Choice Next Gold Signature - HMO
  • First Choice Next Silver Essential - HMO
  • First Choice Next Silver Premier - HMO
  • First Choice Next Silver Signature - HMO

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.

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

CHRISTAL LEANN FULMER

Authorized Official Title
REVENUE INTEGRITY MANAGER
Authorized Official Phone
(803) 395-4248

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
CN8991OTHER (01)SCRRMEDICARE
015OTHER (01)SCTRICARE
015OTHER (01)SCBLUECHOICE
017OTHER (01)SCBCBS
CK8831OTHER (01)SCRRMEDICARE
GP5396MEDICAID (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
42D0916819
Facility Type
Physician Office
Certificate Effective Date
September 05, 2025
Certificate Expiration Date
September 04, 2027
Laboratory Director
DR. TIMOTHY SHAVER
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Rmc Primary Care St. Matthews 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.

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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 1396976700, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

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
9
Doubled → 18 → 1 + 8
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
7
Unchanged
Pos 9
0
Doubled → 0
Check
0
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 9 → 18 → 9 9 → 18 → 9 6 → 12 → 3 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 8 + 6 + 1 + 8 + 7 + 1 + 2 + 7 + 0 + 24 = 70

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

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

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1396976700.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (Rural Health)
651A HARRY C RAYSOR DR
ST MATTHEWS, SC 29135

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396976700, enumerated as an "organization" on August 03, 2009.

The provider is located at 651A HARRY C RAYSOR DR ST MATTHEWS, SC 29135 and the phone number is (803) 395-3755.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

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