ST MATTHEWS FAMILY PRACTICE
NPI 1790759520
Clinical Medical Laboratory in St Matthews, SC

NPI Status: Active since February 16, 2006

Contact Information

725 HARRY C RAYSOR DR
ST MATTHEWS, SC
ZIP 29135
Phone: (803) 874-3902
Fax: (803) 874-3905

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  • Organization
  • Clinical Medical Laboratory
  • CLIA Number: 42D0665214
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 10-27-2027

About ST MATTHEWS FAMILY PRACTICE

This page provides the complete NPI Profile along with additional information for St Matthews Family Practice, a provider established in St Matthews, South Carolina operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1790759520 assigned on February 2006. The practitioner's primary taxonomy code is 291U00000X with license number 42D0916819 (SC). The provider is registered as an organization and their NPI record was last updated 18 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 provider's is doing business as St Matthews Family Practice. The authorized official of this NPI record is Terrell L Stone Md (Owner)

NPI
1790759520
Provider Legal Name
TERRELL L STONE
Other Organization Name
ST MATTHEWS FAMILY PRACTICE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
725 HARRY C RAYSOR DR ST MATTHEWS, SC 29135
Location Phone
(803) 874-3902
Location Fax
(803) 874-3905
Mailing Address
PO BOX 638 ST MATTHEWS, SC 29135
Mailing Phone
(803) 874-3902
Mailing Fax
(803) 874-3905
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-16-2006
Last Update Date
06-30-2008
Code Navigator

Establishments like St Matthews Family Practice are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

Clinical labs in the U.S. that perform human testing are regulated by the Centers for Medicare & Medicaid Services (CMS) through the Clinical Laboratory Improvement Amendments (CLIA) program. The purpose of the CLIA program is to guarantee the quality of laboratory testing. This provider has a CLIA number assigned, and undergoes regular inspections to ensure compliance and quality.

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

Clinical Medical Laboratory

Taxonomy Code
291U00000X
Type
Laboratories
License No.
42D0916819
License State
SC
Taxonomy Description
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

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)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

13583 (SC)

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:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

TERRELL L STONE MD

Authorized Official Title
OWNER
Authorized Official Phone
(803) 874-3902

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
GP0753MEDICAID (05)SC 
4429MEDICARE PIN (08)SC 

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
42D0665214
Facility Type
Other
Certificate Effective Date
October 28, 2025
Certificate Expiration Date
October 27, 2027
Laboratory Director
DR. SANDRA STEPHENS
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to St Matthews Family Practice 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.

Reviews for ST MATTHEWS FAMILY PRACTICE

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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 1790759520, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

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
9
Doubled → 18 → 1 + 8
Pos 4
0
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
5
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
5
Unchanged
Pos 9
2
Doubled → 4
Check
0
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 7 → 14 → 5 9 → 18 → 9 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 8 + 0 + 1 + 4 + 5 + 1 + 8 + 5 + 4 + 24 = 70

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

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

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1790759520.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Clinic/Center (Rural Health)
725 HARRY C RAYSOR DR
ST MATTHEWS, SC 29135
Family Medicine
725 HARRY C RAYSOR DR
ST MATTHEWS, SC 29135

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790759520, enumerated as an "organization" on February 16, 2006.

The provider is located at 725 HARRY C RAYSOR DR ST MATTHEWS, SC 29135 and the phone number is (803) 874-3902.

Clinical Medical Laboratory with taxonomy code 291U00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.