DECATUR ENT ASSOCIATES P C
NPI 1164487708
Otolaryngology - Facial Plastic Surgery in Decatur, AL
NPI Status: Active since April 18, 2006
Contact Information
1218 13TH AVE SE
DECATUR, AL
ZIP 35601
Phone: (256) 355-6200
Fax: (256) 355-6241
- Organization
- Otolaryngology
- Facial Plastic Surgery
- CLIA Number: 01D0676999
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-27-2026
About DECATUR ENT ASSOCIATES P C
This page provides the complete NPI Profile along with additional information for Decatur Ent Associates P C, a provider established in Decatur, Alabama operating as a Otolaryngology, focusing in facial plastic surgery . The healthcare provider is registered in the NPI registry with number 1164487708 assigned on April 2006. The practitioner's primary taxonomy code is 207YS0123X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Decatur Ent Associates P C operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Shondra Clark (Billing/insurance)
- NPI
- 1164487708
- Provider Name
- DECATUR ENT ASSOCIATES P C
- Entity Type
- Organization
- Location Address
- 1218 13TH AVE SE DECATUR, AL 35601
- Location Phone
- (256) 355-6200
- Location Fax
- (256) 355-6241
- Mailing Address
- 1218 13TH AVE SE DECATUR, AL 35601
- Mailing Phone
- (256) 355-6200
- Mailing Fax
- (256) 355-6241
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-18-2006
- Last Update Date
- 02-20-2023
- 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
Otolaryngology Facial Plastic Surgery
- Taxonomy Code
- 207YS0123X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An otolaryngologist who specializes in facial plastic surgery.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207YX0602X | Allopathic & Osteopathic Physicians | Otolaryngology |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas 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.
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 |
|---|---|---|---|
| D380 | OTHER (01) | AL | BCBS OF AL GROUP# |
| 529001940 | MEDICAID (05) | AL | |
| CM6320 | OTHER (01) | AL | RAILROAD MEDICARE |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 01D0676999
- Facility Type
- Physician Office
- Certificate Effective Date
- July 28, 2024
- Certificate Expiration Date
- July 27, 2026
- Laboratory Director
- SAGE K. COPELAND
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Decatur Ent Associates P C to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 | 8 | 7 | 7 | 0 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 12 | 4 | 8 | 8 | 14 | 7 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 2 + 4 + 8 + 8 + 1 + 4 + 7 + 0 + 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 = 8 | 8 | ||||||||
The NPI number 1164487708 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 |
|---|---|---|---|
| 1295716975 | MRS. KATHRYN SULCER RPT Individual | Physical Therapist | 1218 13TH AVE SE DECATUR, AL 35601 (256) 355-6200 |
| 1982876520 | RANDALL WILKS AUD Individual | Audiologist | 1218 13TH AVE SE DECATUR, AL 35601 (256) 355-6200 |
| 1265413124 | DR. SAGE KINNEY COPELAND M.D., F.A.C.S. Individual | Otolaryngology | 1218 13TH AVE SE DECATUR, AL 35601 (256) 355-6200 |
| 1760463632 | DR. BENJAMIN W LIGHT M.D., F.A.C.S. Individual | Otolaryngology (Otolaryngology/Facial Plastic Surgery) | 1218 13TH AVE SE DECATUR, AL 35601 (256) 355-6200 |
| 1558342931 | DR. GEORGE H GODWIN III M.D., F.A.C.S. Individual | Otolaryngology | 1218 13TH AVE SE DECATUR, AL 35601 (256) 355-6200 |
| 1871948935 | FRANK FISCHER MCAP, BC, ACA Individual | Hearing Instrument Specialist | 1218 13TH AVE SE DECATUR, AL 35601 (256) 355-2096 |
| 1851833776 | SUNG D KIM PT, DPT Individual | Physical Therapist | 1218 13TH AVE SE DECATUR, AL 35601 (256) 351-5015 |
| 1215445937 | SHAWNA MARIE CADARETTE DPT Individual | Physical Therapist | 1218 13TH AVE SE DECATUR, AL 35601 (256) 351-5015 |
| 1134821853 | PIA KARISMA NEBRES DPT Individual | Physical Therapist | 1218 13TH AVE SE DECATUR, AL 35601 (256) 351-5015 |
| 1750071981 | AALIYAH JANAY FUQUA Individual | Physical Therapist | 1218 13TH AVE SE DECATUR, AL 35601 (256) 351-5015 |
| 1245005925 | ALEXANDRIA ERIN CLEMONS Individual | Physical Therapist | 1218 13TH AVE SE DECATUR, AL 35601 (256) 351-5015 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164487708, enumerated in the NPI registry as an "organization" on April 18, 2006
The provider is located at 1218 13th Ave Se Decatur, Al 35601 and the phone number is (256) 355-6200
This medical organization specializes in Otolaryngology with taxonomy code 207YS0123X with a focus in Facial Plastic Surgery
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 01D0676999 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on April 18, 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].
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