NOVANT HEALTH RED VENTURES WELLNESS CENTER
NPI 1528690377
Emergency Medicine in Fort Mill, SC

NPI Status: Active since February 10, 2020

Contact Information

1423 RED VENTURES DR
FORT MILL, SC
ZIP 29707
Phone: (803) 992-8030
Fax: (803) 992-8031

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  • Organization
  • Emergency Medicine
  • CLIA Number: 34D2038737
  • CLIA Cert. Type: Mobile Laboratory
  • CLIA Exp. Date: 05-31-2026

About NOVANT HEALTH RED VENTURES WELLNESS CENTER

This page provides the complete NPI Profile along with additional information for Novant Health Red Ventures Wellness Center, a provider established in Fort Mill, South Carolina operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1528690377 assigned on February 2020. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Novant Health Red Ventures Wellness Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Novant Health Red Ventures Wellness Center. The authorized official of this NPI record is Shala Davis (Enrollment Manager)

NPI
1528690377
Provider Legal Name
NOVANT HEALTH, INC.
Other Organization Name
NOVANT HEALTH RED VENTURES WELLNESS CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1423 RED VENTURES DR FORT MILL, SC 29707
Location Phone
(803) 992-8030
Location Fax
(803) 992-8031
Mailing Address
2085 FRONTIS PLAZA BLVD WINSTON SALEM, NC 27103
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-10-2020
Last Update Date
02-12-2020
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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

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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

SHALA DAVIS

Authorized Official Title
ENROLLMENT MANAGER
Authorized Official Phone
(704) 316-7845

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
34D2038737
Facility Type
Mobile Laboratory
Certificate Effective Date
November 28, 2023
Certificate Expiration Date
May 31, 2026
Laboratory Director
CHRISTOPHER R. MADDEN
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Novant Health Red Ventures Wellness Center after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high 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 1528690377, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
5
Unchanged
Pos 3
2
Doubled → 4
Pos 4
8
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
7
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 2 → 4 6 → 12 → 3 0 → 0 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 4 + 8 + 1 + 2 + 9 + 0 + 3 + 1 + 4 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1528690377.

Other Providers at the Same Location


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

Emergency Medicine
1423 RED VENTURES DR
FORT MILL, SC 29707

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528690377, enumerated as an "organization" on February 10, 2020.

The provider is located at 1423 RED VENTURES DR FORT MILL, SC 29707 and the phone number is (803) 992-8030.

Emergency Medicine with taxonomy code 207P00000X.