UPSTATE CAROLINA MEDICAL LLC
NPI 1457002123
Nurse Practitioner in Clemson, SC

NPI Status: Active since January 14, 2022

Contact Information

144 THOMAS GREEN BLVD STE 232
CLEMSON, SC
ZIP 29631
Phone: (864) 722-5203
Fax: (864) 722-5203

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  • Organization
  • Nurse Practitioner

About UPSTATE CAROLINA MEDICAL LLC

This page provides the complete NPI Profile along with additional information for Upstate Carolina Medical Llc, a provider established in Clemson, South Carolina operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1457002123 assigned on January 2022. The practitioner's primary taxonomy code is 363L00000X. 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 authorized official of this NPI record is Jessica Vassallo (Owner/ Nurse Practitioner)

NPI
1457002123
Provider Name
UPSTATE CAROLINA MEDICAL LLC
Entity Type
Organization
Location Address
144 THOMAS GREEN BLVD STE 232 CLEMSON, SC 29631
Location Phone
(864) 722-5203
Location Fax
(864) 722-5203
Mailing Address
144 THOMAS GREEN BLVD STE 232 CLEMSON, SC 29631
Mailing Phone
(864) 722-5203
Mailing Fax
(864) 722-5203
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-14-2022
Last Update Date
06-01-2022
Code Navigator

A nurse practitioner (NP) like Upstate Carolina Medical Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

  • 205 Central Park Ln Ste A
    Seneca, SC 29678
    (864) 903-9604

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

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

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

JESSICA VASSALLO

Authorized Official Title
OWNER/ NURSE PRACTITIONER
Authorized Official Phone
(864) 903-9604

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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 1457002123, 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 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 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
4
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
7
Unchanged
Pos 5
0
Doubled → 0
Pos 6
0
Unchanged
Pos 7
2
Doubled → 4
Pos 8
1
Unchanged
Pos 9
2
Doubled → 4
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 5 → 10 → 1 0 → 0 2 → 4 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 0 + 7 + 0 + 0 + 4 + 1 + 4 + 24 = 47

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

The next multiple of ten after 47 is 50. The difference is the calculated check digit.

50 - 47 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1457002123.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457002123, enumerated as an "organization" on January 14, 2022.

The provider is located at 144 THOMAS GREEN BLVD STE 232 CLEMSON, SC 29631 and the phone number is (864) 722-5203.

Nurse Practitioner with taxonomy code 363L00000X.