PIEDMONT JOINT REPLACEMENT, BACK & SPORTS MEDICINE CENTER, PLLC
NPI 1013025212
Specialist in Eden, NC

NPI Status: Active since August 28, 2006

Contact Information

110 S PARK TER
EDEN, NC
ZIP 27288
Phone: (336) 623-2623
Fax: (336) 623-7909

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  • Organization
  • Specialist

About PIEDMONT JOINT REPLACEMENT, BACK & SPORTS MEDICINE CENTER, PLLC

This page provides the complete NPI Profile along with additional information for Piedmont Joint Replacement, Back & Sports Medicine Center, Pllc, a provider established in Eden, North Carolina operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1013025212 assigned on August 2006. The practitioner's primary taxonomy code is 174400000X with license number 31615 (NC). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Titus Plomaritis Jr. Md (Physician)

NPI
1013025212
Provider Name
PIEDMONT JOINT REPLACEMENT, BACK & SPORTS MEDICINE CENTER, PLLC
Entity Type
Organization
Location Address
110 S PARK TER EDEN, NC 27288
Location Phone
(336) 623-2623
Location Fax
(336) 623-7909
Mailing Address
110 S PARK TER EDEN, NC 27288
Mailing Phone
(336) 623-2623
Mailing Fax
(336) 623-7909
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-28-2006
Last Update Date
09-02-2008
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
31615
License State
NC
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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.

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

DR. TITUS PLOMARITIS JR. MD

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(336) 623-2623

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
2318396MEDICARE ID-TYPE UNSPECIFIED (04)NC 
0128VOTHER (01)NCBCBS OF NC
B86153MEDICARE UPIN (02)NC 
0696730001MEDICARE NSC (07)NC 
790128VMEDICAID (05)NC 

Reviews for PIEDMONT JOINT REPLACEMENT, BACK & SPORTS MEDICINE CENTER, PLLC

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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.
1013025212
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023021022
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 2 + 1 + 0 + 2 + 2 + 24 = 38
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 38 = 22

The NPI number 1013025212 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

NPI Name / Type Taxonomy Address
1467486308EDEN SPORTS, INC.
Organization
Clinic/Center (Physical Therapy)110 S PARK TER
EDEN, NC 27288
(800) 364-0690
1093909897 GARY NICHOLAS RIZZA MED, BS.
Individual
Specialist/Technologist (Athletic Trainer)110 S PARK TER
EDEN, NC 27288
(336) 627-7778
1417653791 ELIZABETH MARY PECK MSN, AGNP-C
Individual
Nurse Practitioner (Adult Health)110 S PARK TER
EDEN, NC 27288
(336) 627-3878

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013025212, enumerated in the NPI registry as an "organization" on August 28, 2006

The provider is located at 110 S Park Ter Eden, Nc 27288 and the phone number is (336) 623-2623

This medical organization specializes in Specialist with taxonomy code 174400000X

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 28, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.