PRISMA HEALTH LAURENS FAMILY MED-GRAY CT
NPI 1700239787
Clinic/Center - Rural Health in Gray Court, SC

NPI Status: Active since July 14, 2016

Contact Information

9100 HIGHWAY 14
GRAY COURT, SC
ZIP 29645
Phone: (864) 876-4888

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  • Organization
  • Clinic/Center
  • Rural Health
  • Accepts Insurance
  • CLIA Number: 42D0935175
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-28-2027

About PRISMA HEALTH LAURENS FAMILY MED-GRAY CT

This page provides the complete NPI Profile along with additional information for Prisma Health Laurens Family Med-gray Ct, a primary care provider established in Gray Court, South Carolina operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1700239787 assigned on July 2016. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Prisma Health Laurens Family Med-gray Ct. The authorized official of this NPI record is Polly H. Miller (Vp Payor Strategies & Alignment)

NPI
1700239787
Provider Legal Name
PRISMA HEALTH-UPSTATE
Other Organization Name
PRISMA HEALTH LAURENS FAMILY MED-GRAY CT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
9100 HIGHWAY 14 GRAY COURT, SC 29645
Location Phone
(864) 876-4888
Mailing Address
300 E MCBEE AVE FL 4 GREENVILLE, SC 29601
Mailing Phone
(864) 455-7000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-14-2016
Last Update Date
02-05-2021
Code Navigator

A primary care provider (PCP) like Prisma Health Laurens Family Med-gray Ct 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

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Standard Expanded Bronze - HMO
  • Standard Gold - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze with Atrium Health - HMO
  • Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Focused Silver with Atrium Health - HMO
  • Focused Silver with Atrium Health + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze with Atrium Health - HMO
  • 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 Reedy Bronze 1 - HMO
  • Blue Reedy Bronze 2 - HMO
  • Blue Reedy Gold 1 - HMO
  • Blue Reedy Silver 1 - HMO
  • Blue Reedy Silver 2 - HMO
  • Blue Reedy Silver 2 + Adult Vision - HMO
  • Blue Reedy Standard Expanded Bronze - HMO
  • Blue Reedy Standard Gold - HMO
  • Blue Reedy Standard Silver - HMO
  • Blue VirtuConnect Bronze 1 - EPO
  • Blue VirtuConnect Gold 1 - EPO
  • Blue VirtuConnect Silver 1 - EPO
  • BlueEssentials Bronze 4 - EPO
  • InHealth Basic 1 - HMO
  • InHealth Basic 1 + Adult Vision - HMO
  • InHealth Basic 2 - HMO
  • InHealth Basic Plus Standard - HMO
  • InHealth Basic Standard - HMO

*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

POLLY H. MILLER

Authorized Official Title
VP PAYOR STRATEGIES & ALIGNMENT
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
42D0935175
Facility Type
Physician Office
Certificate Effective Date
September 29, 2025
Certificate Expiration Date
September 28, 2027
Laboratory Director
DR. CHRISTOPHER NELSON
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Prisma Health Laurens Family Med-gray Ct 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 1700239787, 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
7
Unchanged
Pos 3
0
Doubled → 0
Pos 4
0
Unchanged
Pos 5
2
Doubled → 4
Pos 6
3
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
7
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
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 0 → 0 2 → 4 9 → 18 → 9 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 0 + 0 + 4 + 3 + 1 + 8 + 7 + 1 + 6 + 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 1700239787.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Family Medicine
9100 HIGHWAY 14
GRAY COURT, SC 29645
Family Medicine
9100 HIGHWAY 14
GRAY COURT, SC 29645
Clinic/Center (Rural Health)
9100 HIGHWAY 14
GRAY COURT, SC 29645
Clinic/Center (Rural Health)
9100 HIGHWAY 14
GRAY COURT, SC 29645
Clinic/Center (Multi-Specialty)
9100 HIGHWAY 14
GRAY COURT, SC 29645

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700239787, enumerated as an "organization" on July 14, 2016.

The provider is located at 9100 HIGHWAY 14 GRAY COURT, SC 29645 and the phone number is (864) 876-4888.

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

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.