CUMBERLAND PEDIATRIC ASSOCIATES PC
NPI 1205568003
Clinic/Center in Gordonsville, TN
NPI Status: Active since June 29, 2022
Contact Information
8 NEW MIDDLETON HWY
GORDONSVILLE, TN
ZIP 38563
Phone: (615) 683-4200
Fax: (615) 683-4207
- Organization
- Clinic/Center
- CLIA Number: 44D2028529
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-16-2025
About CUMBERLAND PEDIATRIC ASSOCIATES PC
This page provides the complete NPI Profile along with additional information for Cumberland Pediatric Associates Pc, a provider established in Gordonsville, Tennessee operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1205568003 assigned on June 2022. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Cathy Howard Stevens (Practice Administrator)
- NPI
- 1205568003
- Provider Name
- CUMBERLAND PEDIATRIC ASSOCIATES PC
- Entity Type
- Organization
- Location Address
- 8 NEW MIDDLETON HWY GORDONSVILLE, TN 38563
- Location Phone
- (615) 683-4200
- Location Fax
- (615) 683-4207
- Mailing Address
- 8 NEW MIDDLETON HWY GORDONSVILLE, TN 38563
- Mailing Phone
- (615) 683-4200
- Mailing Fax
- (615) 683-4207
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-29-2022
- Last Update Date
- 06-29-2022
- 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
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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
- 44D2028529
- Facility Type
- Physician Office
- Certificate Effective Date
- October 17, 2023
- Certificate Expiration Date
- October 16, 2025
- Laboratory Director
- DR. CHARLES A. JORDAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Cumberland Pediatric Associates Pc 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 | 2 | 0 | 5 | 5 | 6 | 8 | 0 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 0 | 5 | 10 | 6 | 16 | 0 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 0 + 5 + 1 + 0 + 6 + 1 + 6 + 0 + 0 + 24 = 47 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 47 = 3 | 3 | ||||||||
The NPI number 1205568003 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1184606519 | MRS. KAREN L SEXTON PA-C Individual | Physician Assistant | 8 NEW MIDDLETON HWY SUITE A GORDONSVILLE, TN 38563 (615) 683-3400 |
| 1598715377 | PRIMARY CARE ASSOCIATES OF SMITH COUNTY, INC. Organization | Family Medicine | 8 NEW MIDDLETON HWY SUITE A GORDONSVILLE, TN 38563 (615) 683-3400 |
| 1710937487 | SMITH COUNTY FAMILY CARE, P.C. Organization | Family Medicine | 8 NEW MIDDLETON HWY SUITE A GORDONSVILLE, TN 38563 (615) 683-3400 |
| 1396866372 | GORDONSVILLE DRUGS, INC Organization | Pharmacy (Community/Retail Pharmacy) | 8 NEW MIDDLETON HWY GORDONSVILLE, TN 38563 (615) 683-4400 |
| 1619945292 | DR. KEITH REGEN HILL MD Individual | Family Medicine | 8 NEW MIDDLETON HWY SUITE A GORDONSVILLE, TN 38563 (615) 683-3400 |
| 1073053666 | HOMETOWN HEALTHCARE ASSOCIATES, PLLC Organization | Clinic/Center (Primary Care) | 8 NEW MIDDLETON HWY SUITE A GORDONSVILLE, TN 38563 (931) 472-5353 |
| 1053867184 | SMITH COUNTY FAMILY MEDICAL LLC Organization | Nurse Practitioner (Family) | 8 NEW MIDDLETON HWY STE A GORDONSVILLE, TN 38563 (615) 735-8008 |
| 1881660777 | PROF. JOHN WALTER KNIGHT III PA-C Individual | Physician Assistant | 8 NEW MIDDLETON HWY SUITE A GORDONSVILLE, TN 38563 (931) 472-5353 |
| 1912156696 | KIMBERLY D GREGORY MSN, FNP-BC Individual | Nurse Practitioner (Family) | 8 NEW MIDDLETON HWY STE A GORDONSVILLE, TN 38563 (615) 735-8008 |
| 1356374797 | MRS. AMY MANNING DUDNEY PHARMD Individual | Pharmacist | 8 NEW MIDDLETON HWY GORDONSVILLE, TN 38563 (615) 683-4400 |
| 1518611425 | ANNA CATHERINE SIRCY FNP Individual | Nurse Practitioner (Family) | 8 NEW MIDDLETON HWY GORDONSVILLE, TN 38563 (615) 735-8008 |
| 1982337507 | NICOLE DEE CRIPPS APN Individual | Nurse Practitioner | 8 NEW MIDDLETON HWY GORDONSVILLE, TN 38563 (615) 683-4200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205568003, enumerated in the NPI registry as an "organization" on June 29, 2022
The provider is located at 8 New Middleton Hwy Gordonsville, Tn 38563 and the phone number is (615) 683-4200
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
The provider's CLIA number is 44D2028529 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 June 29, 2022. 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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