LILLYS MEDICAL CENTER LLC
NPI 1063007854
Nurse Practitioner - Primary Care in Jacksonville, FL

NPI Status: Active since March 04, 2021

Contact Information

4241 BAYMEADOWS RD STE 6
JACKSONVILLE, FL
ZIP 32217
Phone: (407) 719-5723

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  • Organization
  • Nurse Practitioner
  • Primary Care

About LILLYS MEDICAL CENTER LLC

This page provides the complete NPI Profile along with additional information for Lillys Medical Center Llc, a provider established in Jacksonville, Florida operating as a Nurse Practitioner, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1063007854 assigned on March 2021. The practitioner's primary taxonomy code is 363LP2300X. The provider is registered as an organization and their NPI record was last updated 4 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 Georgette L Provost-dukes Arnp (Arnp)

NPI
1063007854
Provider Name
LILLYS MEDICAL CENTER LLC
Entity Type
Organization
Location Address
4241 BAYMEADOWS RD STE 6 JACKSONVILLE, FL 32217
Location Phone
(407) 719-5723
Mailing Address
4241 BAYMEADOWS RD STE 6 JACKSONVILLE, FL 32217
Mailing Phone
(407) 719-5723
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-04-2021
Last Update Date
03-17-2021
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A nurse practitioner (NP) like Lillys Medical Center Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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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

Nurse Practitioner Primary Care

Taxonomy Code
363LP2300X
Type
Physician Assistants & Advanced Practice Nursing Providers

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.

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

GEORGETTE L PROVOST-DUKES ARNP

Authorized Official Title
ARNP
Authorized Official Phone
(407) 719-5723

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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.
1063007854
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201230014810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 0 + 0 + 1 + 4 + 8 + 1 + 0 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1063007854 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1689178667 GEORGETTE LOUISE PROVOST-DUKES NURSE PRACTITIONER
Individual
Nurse Practitioner (Family)4241 BAYMEADOWS RD STE 6
JACKSONVILLE, FL 32217
(407) 719-5723

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063007854, enumerated in the NPI registry as an "organization" on March 04, 2021

The provider is located at 4241 Baymeadows Rd Ste 6 Jacksonville, Fl 32217 and the phone number is (407) 719-5723

This medical organization specializes in Nurse Practitioner with taxonomy code 363LP2300X with a focus in Primary Care

This NPI record was last updated on March 04, 2021. 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.