THE CLINIC AT WALMART COLUMBUS
NPI 1093024648
Nurse Practitioner in Columbus, MS

NPI Status: Active since September 30, 2010

Contact Information

1913 HIGHWAY 45 N
COLUMBUS, MS
ZIP 39705
Phone: (662) 328-9702

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  • Organization
  • Nurse Practitioner

About THE CLINIC AT WALMART COLUMBUS

This page provides the complete NPI Profile along with additional information for The Clinic At Walmart Columbus, a provider established in Columbus, Mississippi operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1093024648 assigned on September 2010. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated 2 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 provider's is doing business as The Clinic At Walmart Columbus. The authorized official of this NPI record is Gerald Kimbrough (Manager)

NPI
1093024648
Provider Legal Name
NORTH MISSISSIPPI CLINICS LLC
Other Organization Name
THE CLINIC AT WALMART COLUMBUS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1913 HIGHWAY 45 N COLUMBUS, MS 39705
Location Phone
(662) 328-9702
Mailing Address
1913 HIGHWAY 45 N COLUMBUS, MS 39705
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-30-2010
Last Update Date
02-06-2023
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A nurse practitioner (NP) like The Clinic At Walmart Columbus 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

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

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

GERALD KIMBROUGH

Authorized Official Title
MANAGER
Authorized Official Phone
(662) 377-4685

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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.
1093024648
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2018302868
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 8 + 3 + 0 + 2 + 8 + 6 + 8 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1093024648 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1245349778 JUDY T TRENARY NP
Individual
Nurse Practitioner (Family)1913 HIGHWAY 45 N
COLUMBUS, MS 39705
(662) 328-1918
1154404960WAL-MART STORES, INC.
Organization
Technician/Technologist (Optician)1913 HIGHWAY 45 N
COLUMBUS, MS 39705
(662) 329-4810
1578165296 CARLA DELGADILLO
Individual
Pharmacist1913 HIGHWAY 45 N
COLUMBUS, MS 39705
(662) 329-1766
1518569045 PATRICIA DENISE LAVENDER
Individual
Pharmacist1913 HIGHWAY 45 N
COLUMBUS, MS 39705
(662) 329-1766
1184226524 BIANCA J SMITH
Individual
Pharmacist1913 HIGHWAY 45 N
COLUMBUS, MS 39705
(662) 329-1766
1942255260 SUSAN M HINES FNP
Individual
Nurse Practitioner (Family)1913 HIGHWAY 45 N
COLUMBUS, MS 39705
(662) 328-1918
1083804322MISS KIMBERLY A YEATES O.D.
Individual
Optometrist1913 HIGHWAY 45 N
COLUMBUS, MS 39705
(601) 917-0667
1154080844PERFECTLY CLEAR EYE CARE, LLC
Organization
Optometrist1913 HIGHWAY 45 N
COLUMBUS, MS 39705
(601) 917-0667
1346267747WAL-MART STORES EAST LP
Organization
Pharmacy (Community/Retail Pharmacy)1913 HIGHWAY 45 N
COLUMBUS, MS 39705
(662) 329-1766
1831470145MS. SHARON STEGALL MACMAHON RPH
Individual
Pharmacist1913 HIGHWAY 45 N
COLUMBUS, MS 39705
(662) 329-1766
1790504264 MARK JAGGERS RPH
Individual
Pharmacist1913 HIGHWAY 45 N
COLUMBUS, MS 39705
(662) 329-1766

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093024648, enumerated in the NPI registry as an "organization" on September 30, 2010

The provider is located at 1913 Highway 45 N Columbus, Ms 39705 and the phone number is (662) 328-9702

This medical organization specializes in Nurse Practitioner with taxonomy code 363L00000X

This NPI record was last updated on September 30, 2010. 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.