PHOENIX WELLNESS LLC
NPI 1780348789
Clinic/Center - Multi-Specialty in Fort Mill, SC
NPI Status: Active since October 26, 2021
Contact Information
1040 EDGEWATER CORPORATE PKWY STE 106
FORT MILL, SC
ZIP 29707
Phone: (704) 609-7334
Fax: (855) 655-3374
- Organization
- Clinic/Center
- Multi-Specialty
About PHOENIX WELLNESS LLC
This page provides the complete NPI Profile along with additional information for Phoenix Wellness Llc, a provider established in Fort Mill, South Carolina operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1780348789 assigned on October 2021. The practitioner's primary taxonomy code is 261QM1300X. 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 David N Smith Md (Owner)
- NPI
- 1780348789
- Provider Name
- PHOENIX WELLNESS LLC
- Entity Type
- Organization
- Location Address
- 1040 EDGEWATER CORPORATE PKWY STE 106 FORT MILL, SC 29707
- Location Phone
- (704) 609-7334
- Location Fax
- (855) 655-3374
- Mailing Address
- 1600 CHURCHILL DOWNS DR WAXHAW, NC 28173
- Mailing Phone
- (704) 609-7334
- Mailing Fax
- (855) 655-3374
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-26-2021
- Last Update Date
- 10-26-2021
- 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
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | |
| 3 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | |
| 4 | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | |
| 5 | 251B00000X | Agencies | Case Management | |
| 6 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | |
| 7 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | |
| 8 | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center | |
| 9 | 261QP2400X | Ambulatory Health Care Facilities | Clinic/Center | |
| 10 | 261QV0200X | Ambulatory Health Care Facilities | Clinic/Center |
Group Taxonomy 193400000X MULTIPLE 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.
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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 1780348789, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 71 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
INDIAN LAND, SC 29707
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780348789, enumerated as an "organization" on October 26, 2021.
The provider is located at 1040 EDGEWATER CORPORATE PKWY STE 106 FORT MILL, SC 29707 and the phone number is (704) 609-7334.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
