FREDERICK G DOUGLAS MD
NPI 1922040955
Family Medicine in Easley, SC

NPI Status: Active since June 12, 2006

Contact Information

106 JOHN STREET
EASLEY, SC
ZIP 29640
Phone: (864) 859-2220
Fax: (864) 859-5744

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  • Individual
  • Male
  • Family Medicine

About FREDERICK DOUGLAS

This page provides the complete NPI Profile along with additional information for Frederick Douglas, a primary care provider established in Easley, South Carolina with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1922040955 assigned on June 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 5691 (SC). The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI
1922040955
Provider Name
FREDERICK G DOUGLAS MD
Gender
Male
Entity Type
Individual
Location Address
106 JOHN STREET EASLEY, SC 29640
Location Phone
(864) 859-2220
Location Fax
(864) 859-5744
Mailing Address
PO BOX 2089 EASLEY, SC 29641
Mailing Phone
(864) 855-5104
Mailing Fax
(864) 859-5744
Is Sole Proprietor?
No
Enumeration Date
06-12-2006
Last Update Date
02-10-2010
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A primary care provider (PCP) like Frederick Douglas 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
5691
License State
SC
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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.

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.

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
D908156202MEDICARE PIN (08)SC 
056913MEDICAID (05)SC 
D908159367MEDICARE PIN (08)SC 
D90815MEDICARE UPIN (02)SC 
582296052055OTHER (01)SCBLUE CROSS
134768MEDICAID (05)SC 

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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 1922040955, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
9
Unchanged
Pos 3
2
Doubled → 4
Pos 4
2
Unchanged
Pos 5
0
Doubled → 0
Pos 6
4
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
5
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 0 → 0 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 4 + 2 + 0 + 4 + 0 + 9 + 1 + 0 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1922040955.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Family Medicine
106 JOHN STREET
EASLEY, SC 29640
Durable Medical Equipment & Medical Supplies
106 JOHN STREET
EASLEY, SC 29640
Family Medicine
106 JOHN STREET
EASLEY, SC 29640

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922040955, enumerated as an "individual" on June 12, 2006.

The provider is located at 106 JOHN STREET EASLEY, SC 29640 and the phone number is (864) 859-2220.

Family Medicine with taxonomy code 207Q00000X.

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