SOUTHFORK PEDIATRICS, PLLC
NPI 1992701445
Clinic/center, Medical Specialty in Lenoir,


Quality Rating: 100 out of 100 score

NPI Status: Active since June 21, 2005

Contact Information

1733 Connelly Springs Rd
Lenoir,
Post Code: 28645
Phone: (828) 726-8885
Fax: (828) 726-8883

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Southfork Pediatrics, Pllc in Lenoir - Clinic/Center, Medical Specialty

Southfork Pediatrics, Pllc is a Clinic/Center, Medical Specialty in Lenoir, . Southfork Pediatrics, Pllc practices all healthcare services and medical treatments related to Clinic/Center, Medical Specialty. The NPI Number for Southfork Pediatrics, Pllc is 1992701445. The last update date is 2008-04-20.

Southfork Pediatrics, Pllc's current location address is 1733 Connelly Springs Rd, Lenoir, . You can contact this provider via phone number (828) 726-8885 and fax number (828) 726-8883. The mailing address for Southfork Pediatrics, Pllc is 1733 Connelly Springs Rd, Lenoir, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1992701445
Provider Legal Name
SOUTHFORK PEDIATRICS, PLLC
Other Organization Name
SOUTHFORK PEDIATRICS, PLLC
Other Name Type
-
Entity Type
Organization
Location Address
1733 Connelly Springs Rd, Lenoir,
Location Phone
(828) 726-8885
Location Fax
(828) 726-8883
Mailing Address
1733 Connelly Springs Rd, Lenoir, North Carolina(NC)
Mailing Phone
828-726-8885
Mailing Fax
828-726-8883
Enumeration Date
2005-06-21
Last Update Date
2008-04-20
Code Navigator

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, Medical Specialty

Taxonomy Code
261QM2500X
Type
-
License No.
9701479
License State
North Carolina (NC)
Taxonomy Description
-

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
1141R Other (non-Medicare) (01) North Carolina (NC) BCBS of NC
1467112 Other (non-Medicare) (01) North Carolina (NC) Cigna
2359139 Other (non-Medicare) (01) North Carolina (NC) United Health Care
891141R Other (non-Medicare) (01) North Carolina (NC) Carolina Access
891141R MEDICAID (05) North Carolina (NC)
========= Other (non-Medicare) (01) North Carolina (NC) Direct Net,
========= Other (non-Medicare) (01) North Carolina (NC) Evolutions
========= Other (non-Medicare) (01) North Carolina (NC) Great West
========= Other (non-Medicare) (01) North Carolina (NC) Health Care Savings
========= Other (non-Medicare) (01) North Carolina (NC) Primary PhysicianCare
========= Other (non-Medicare) (01) North Carolina (NC) Private HealthCare System
B0324 Other (non-Medicare) (01) North Carolina (NC) Medcost

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1992701445
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29182140248
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 29182140248
2 + 9 + 1 + 8 + 2 + 1 + 4 + 0 + 2 + 4 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 5 5

The NPI number 1992701445 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1497758544 CUMBERLAND COUNTY HOSPITAL SYSTEM, INC
CAPE FEAR VALLEY HOME HEALTH AND HOSPICE
Organization
Hospice Care, Community Based 3418 VILLAGE DR
FAYETTEVILLE, North Carolina (NC)
910-609-6740
1114920162 JON DUBOSE
Individual
Pediatrics 111 HOSPITAL DR
TARBORO, North Carolina (NC)
252-641-7700
1225031271 JOHN DAVID SHEPHERD
Individual
Internal Medicine, Nephrology 293 OLMSTED BLVD
PINEHURST, North Carolina (NC)
910-295-3344
1033112081 JOHN PATRICK FOGARTY
Individual
Internal Medicine, Pulmonary Disease 1850 W ARLINGTON BLVD
GREENVILLE, North Carolina (NC)
252-752-6101
1821091851 CUMBERLAND COUNTY HOSPITAL SYSTEM INC
SOUTHEASTERN REGIONAL REHABILITATION CENTER
Organization
General Acute Care Hospital 1638 OWEN DR
FAYETTEVILLE, North Carolina (NC)
910-609-6440