EVERSIDE HEALTH CENTER-MICHELIN SPARTANBURG
NPI 1497422158
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Spartanburg, SC

NPI Status: Active since August 30, 2021

Contact Information

1785 NEW CUT RD
SPARTANBURG, SC
ZIP 29303
Phone: (864) 599-3050

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  • Organization
  • Preventive Medicine
  • Preventive Medicine/Occupational Environ...
  • Accepts Insurance
  • CLIA Number: 42D2252895
  • CLIA Cert. Type: Other - CHRONIC DISEASE MGMT
  • CLIA Exp. Date: 02-14-2026

About EVERSIDE HEALTH CENTER-MICHELIN SPARTANBURG

This page provides the complete NPI Profile along with additional information for Everside Health Center-michelin Spartanburg, a provider established in Spartanburg, South Carolina operating as a Preventive Medicine, focusing in preventive medicine/occupational environmental medicine . The healthcare provider is registered in the NPI registry with number 1497422158 assigned on August 2021. The practitioner's primary taxonomy code is 2083P0500X. The provider is registered as an organization and their NPI record was last updated 5 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 Jill Johnson Patton (Director Of Risk Management)

NPI
1497422158
Provider Name
EVERSIDE HEALTH CENTER-MICHELIN SPARTANBURG
Entity Type
Organization
Location Address
1785 NEW CUT RD SPARTANBURG, SC 29303
Location Phone
(864) 599-3050
Mailing Address
4651 CHARLOTTE PARK DR STE 300 CHARLOTTE, NC 28217
Mailing Phone
(704) 936-5546
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-30-2021
Last Update Date
12-01-2021
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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

Preventive Medicine Preventive Medicine/Occupational Environmental Medicine

Taxonomy Code
2083P0500X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

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:

  • Blue Direction Bronze 1 - POS
  • Blue Direction Silver 1 - POS
  • Blue Direction Silver 1 + Adult Vision - POS
  • Blue Direction Silver 2 - POS
  • Blue Direction Standard Expanded Bronze - POS
  • Blue Direction Standard Gold - POS
  • Blue Direction Standard Silver - POS
  • Blue VirtuConnect Bronze 1 - EPO
  • Blue VirtuConnect Gold 1 - EPO
  • Blue VirtuConnect Silver 1 - EPO
  • BlueEssentials Bronze 4 - EPO
  • BlueEssentials Bronze 6 - EPO
  • BlueEssentials Gold 1 - EPO
  • BlueEssentials Gold 5 - EPO
  • BlueEssentials Silver 14 - EPO
  • BlueEssentials Silver 14 + Adult Vision - EPO
  • BlueEssentials Silver 40 - EPO
  • BlueEssentials Standard Expanded Bronze - EPO
  • BlueEssentials Standard Gold - EPO
  • BlueEssentials Standard Silver - EPO

*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

JILL JOHNSON PATTON

Authorized Official Title
DIRECTOR OF RISK MANAGEMENT
Authorized Official Phone
(704) 936-5546

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
42D2252895
Facility Type
Other - CHRONIC DISEASE MGMT
Certificate Effective Date
February 15, 2024
Certificate Expiration Date
February 14, 2026
Laboratory Director
LESLIE SYKES
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Everside Health Center-michelin Spartanburg 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 1497422158, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
9
Doubled → 18 → 1 + 8
Pos 4
7
Unchanged
Pos 5
4
Doubled → 8
Pos 6
2
Unchanged
Pos 7
2
Doubled → 4
Pos 8
1
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
8
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 4 → 8 2 → 4 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 8 + 7 + 8 + 2 + 4 + 1 + 1 + 0 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1497422158.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Physical Therapist
1785 NEW CUT RD
SPARTANBURG, SC 29303
General Practice
1785 NEW CUT RD
SPARTANBURG, SC 29303
Clinic/Center (Multi-Specialty)
1785 NEW CUT RD
SPARTANBURG, SC 29303

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497422158, enumerated as an "organization" on August 30, 2021.

The provider is located at 1785 NEW CUT RD SPARTANBURG, SC 29303 and the phone number is (864) 599-3050.

Preventive Medicine with taxonomy code 2083P0500X and a focus in Preventive Medicine/Occupational Environmental Medicine.

The provider might be accepting Accepts: BlueCross BlueShield of South Carolina. Please consult your insurance carrier or call the provider to verify.