GRACE INTERNAL MEDICINE LLC
NPI 1962120071
Internal Medicine in Simpsonville, SC

NPI Status: Active since August 16, 2022

Contact Information

114B HOSPITAL DR
SIMPSONVILLE, SC
ZIP 29681
Phone: (803) 757-5177
Fax: (803) 757-5178

Get Directions Write a Review

  • Organization
  • Internal Medicine
  • CLIA Number: 42D2209386
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-12-2027

About GRACE INTERNAL MEDICINE LLC

This page provides the complete NPI Profile along with additional information for Grace Internal Medicine Llc, an internist established in Simpsonville, South Carolina operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1962120071 assigned on August 2022. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Grace Internal Medicine Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Leon Buffaloe (President)

NPI
1962120071
Provider Name
GRACE INTERNAL MEDICINE LLC
Entity Type
Organization
Location Address
114B HOSPITAL DR SIMPSONVILLE, SC 29681
Location Phone
(803) 757-5177
Location Fax
(803) 757-5178
Mailing Address
114B HOSPITAL DR SIMPSONVILLE, SC 29681
Mailing Phone
(864) 757-5177
Mailing Fax
(803) 757-5178
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-16-2022
Last Update Date
09-24-2024
Code Navigator

An internist like Grace Internal Medicine Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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

 
2261QM1300XAmbulatory Health Care Facilities

Clinic/Center
Multi-Specialty

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

LEON BUFFALOE

Authorized Official Title
PRESIDENT
Authorized Official Phone
(864) 360-8802

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
42D2209386
Facility Type
Physician Office
Certificate Effective Date
January 13, 2025
Certificate Expiration Date
January 12, 2027
Laboratory Director
DR. LEON BUFFALOE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Grace Internal Medicine Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for GRACE INTERNAL MEDICINE LLC

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 1962120071, we treat the final digit (1) 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

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
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
1
Doubled → 2
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
1
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 6 → 12 → 3 1 → 2 0 → 0 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 2 + 2 + 2 + 2 + 0 + 0 + 1 + 4 + 24 = 49

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

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1962120071.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Podiatrist (Foot & Ankle Surgery)
114B HOSPITAL DR
SIMPSONVILLE, SC 29681
Clinic/Center (Rehabilitation, Substance Use Disorder)
114B HOSPITAL DR
SIMPSONVILLE, SC 29681
Internal Medicine
114B HOSPITAL DR
SIMPSONVILLE, SC 29681
Nurse Practitioner (Family)
114B HOSPITAL DR
SIMPSONVILLE, SC 29681
Nurse Practitioner (Family)
114B HOSPITAL DR
SIMPSONVILLE, SC 29681
Family Medicine
114B HOSPITAL DR
SIMPSONVILLE, SC 29681

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962120071, enumerated as an "organization" on August 16, 2022.

The provider is located at 114B HOSPITAL DR SIMPSONVILLE, SC 29681 and the phone number is (803) 757-5177.

Internal Medicine with taxonomy code 207R00000X.