PRISMA HEALTH FAMILY MEDICINE-WALHALLA
NPI 1689353906
Clinic/Center - Multi-Specialty in Walhalla, SC

NPI Status: Active since July 13, 2023

Contact Information

103 WHITETAIL DR
WALHALLA, SC
ZIP 29691
Phone: (864) 638-3444
Fax: (864) 638-3445

Get Directions Write a Review

  • Organization
  • Clinic/Center
  • Multi-Specialty
  • CLIA Number: 42D2133976
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-11-2026

About PRISMA HEALTH FAMILY MEDICINE-WALHALLA

This page provides the complete NPI Profile along with additional information for Prisma Health Family Medicine-walhalla, a provider established in Walhalla, South Carolina operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1689353906 assigned on July 2023. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Prisma Health Family Medicine-walhalla. The authorized official of this NPI record is Polly H. Miller (Svp Finance, Enterprise Contracting)

NPI
1689353906
Provider Legal Name
PRISMA HEALTH-UPSTATE
Other Organization Name
PRISMA HEALTH FAMILY MEDICINE-WALHALLA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
103 WHITETAIL DR WALHALLA, SC 29691
Location Phone
(864) 638-3444
Location Fax
(864) 638-3445
Mailing Address
300 E MCBEE AVE FL 4 GREENVILLE, SC 29601
Mailing Phone
(864) 522-8613
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-13-2023
Last Update Date
10-11-2023
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 Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

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

POLLY H. MILLER

Authorized Official Title
SVP FINANCE, ENTERPRISE CONTRACTING
Authorized Official Phone
(864) 522-2286

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
42D2133976
Facility Type
Physician Office
Certificate Effective Date
September 12, 2024
Certificate Expiration Date
September 11, 2026
Laboratory Director
DR. CAMERON SWOFFORD PRICE
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Prisma Health Family Medicine-walhalla on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for PRISMA HEALTH FAMILY MEDICINE-WALHALLA

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1689353906, we treat the final digit (6) 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

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
6
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
9
Unchanged
Pos 5
3
Doubled → 6
Pos 6
5
Unchanged
Pos 7
3
Doubled → 6
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
6
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 8 → 16 → 7 3 → 6 3 → 6 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 6 + 9 + 6 + 5 + 6 + 9 + 0 + 24 = 74

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

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1689353906.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
103 WHITETAIL DR
WALHALLA, SC 29691
Nurse Practitioner
103 WHITETAIL DR
WALHALLA, SC 29691
Clinic/Center (Rural Health)
103 WHITETAIL DR
WALHALLA, SC 29691
Family Medicine
103 WHITETAIL DR
WALHALLA, SC 29691
Family Medicine
103 WHITETAIL DR
WALHALLA, SC 29691
Nurse Practitioner (Gerontology)
103 WHITETAIL DR
WALHALLA, SC 29691
Family Medicine
103 WHITETAIL DR
WALHALLA, SC 29691
Nurse Practitioner (Family)
103 WHITETAIL DR
WALHALLA, SC 29691

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689353906, enumerated as an "organization" on July 13, 2023.

The provider is located at 103 WHITETAIL DR WALHALLA, SC 29691 and the phone number is (864) 638-3444.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.