SOUTHSIDE MEDICAL CENTER PA
SOUTHSIDE MEDICAL CENTER PA is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1972782019, based in Greenville, SC. It is classified under Clinic/Center.
Getting there
The practice address on file is 3921 S HIGHWAY 14 STE A, Greenville, SC 29615. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 21696 | SC | Clinic/Center primary |
This provider holds licence 21696 issued in SC. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 5496703274
- Enrollment ID
- O20050107000849
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Clinic/Center covers
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). NUCC Health Care Provider Taxonomy, code 261Q00000X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1972782019 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Oct 25, 2007 |
| Last updated | Oct 25, 2007 |
| Status | Active |
| Practice address |
3921 S HIGHWAY 14 STE A Greenville, SC 29615 (864) 288-2006 Fax (864) 288-1678 |
| Other identifiers |
216965
· Medicaid (SC) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 9 | 7 | 2 | 7 | 8 | 2 | 0 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 9 | 5 | 2 | 5 | 8 | 4 | 0 | 2 |
Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.