MR. PRENTISS LEE SMITH SR. MD
NPI 1164412722
Radiology - Diagnostic Radiology in Brookhaven, MS
NPI Status: Active since October 25, 2005
Contact Information
108 LANCE ALWORTH DR
BROOKHAVEN, MS
ZIP 39601
Phone: (601) 833-8511
Fax: (601) 835-5413
- Individual
- Male
- Radiology
- Diagnostic Radiology
About PRENTISS SMITH
This page provides the complete NPI Profile along with additional information for Prentiss Smith, a provider established in Brookhaven, Mississippi with a medical specialization in Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1164412722 assigned on October 2005. The practitioner's primary taxonomy code is 2085R0202X with license number 06251 (MS). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1164412722
- Provider Name
- MR. PRENTISS LEE SMITH SR. MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 108 LANCE ALWORTH DR BROOKHAVEN, MS 39601
- Location Phone
- (601) 833-8511
- Location Fax
- (601) 835-5413
- Mailing Address
- PO BOX 764 BROOKHAVEN, MS 39602
- Mailing Phone
- (601) 833-8511
- Mailing Fax
- (601) 835-5413
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-25-2005
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
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
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 06251
- License State
- MS
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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 |
|---|---|---|---|
| 0016651 | MEDICAID (05) | MS | |
| B30501 | MEDICARE UPIN (02) |
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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. | |||||||||
| 1 | 1 | 6 | 4 | 4 | 1 | 2 | 7 | 2 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 12 | 4 | 8 | 1 | 4 | 7 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 2 + 4 + 8 + 1 + 4 + 7 + 4 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1164412722 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 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1063402782 | MRS. JANI L PURVIS MD Individual | Radiology (Diagnostic Radiology) | 108 LANCE ALWORTH DR BROOKHAVEN, MS 39601 (601) 833-8511 |
| 1790774263 | ASSOCIATED RADIOLOGISTS PA Organization | Radiology (Diagnostic Radiology) | 108 LANCE ALWORTH DR BROOKHAVEN, MS 39601 (601) 833-6011 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164412722, enumerated in the NPI registry as an "individual" on October 25, 2005
The provider is located at 108 Lance Alworth Dr Brookhaven, Ms 39601 and the phone number is (601) 833-8511
The provider's speciality is Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology
The provider might be accepting Accepts: Medicare and Medicaid. 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 October 25, 2005. 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].
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