KIDZCARE PEDIATRICS MADISONVILLE
NPI 1215471198
Clinic/Center - Rural Health in Madisonville, TN
NPI Status: Active since December 12, 2016
Contact Information
4233 HIGHWAY 411
SUITE B
MADISONVILLE, TN
ZIP 37354
Phone: (423) 745-7500
Fax: (423) 745-7501
- Organization
- Clinic/Center
- Rural Health
- CLIA Number: 44D2122410
- CLIA Cert. Type: Rural Health Clinic
- CLIA Exp. Date: 04-11-2027
About KIDZCARE PEDIATRICS MADISONVILLE
This page provides the complete NPI Profile along with additional information for Kidzcare Pediatrics Madisonville, a primary care provider established in Madisonville, Tennessee operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1215471198 assigned on December 2016. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Kidzcare Pediatrics Madisonville. The authorized official of this NPI record is Saji Kottappura Gopinathan M.d. (President)
- NPI
- 1215471198
- Provider Legal Name
- KIDZCARE PEDIATRICS, PLLC
- Other Organization Name
- KIDZCARE PEDIATRICS MADISONVILLE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4233 HIGHWAY 411 SUITE B MADISONVILLE, TN 37354
- Location Phone
- (423) 745-7500
- Location Fax
- (423) 745-7501
- Mailing Address
- PO BOX 925 ATHENS, TN 37371
- Mailing Phone
- (423) 745-7500
- Mailing Fax
- (423) 745-7501
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-12-2016
- Last Update Date
- 12-12-2016
- Code Navigator
A primary care provider (PCP) like Kidzcare Pediatrics Madisonville sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
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 Rural Health
- Taxonomy Code
- 261QR1300X
- Type
- Ambulatory Health Care Facilities
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
- 44D2122410
- Facility Type
- Rural Health Clinic
- Certificate Effective Date
- April 12, 2025
- Certificate Expiration Date
- April 11, 2027
- Laboratory Director
- DR. SAJI K. GOPINATHAN
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Kidzcare Pediatrics Madisonville after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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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 | 1 | 5 | 4 | 7 | 1 | 1 | 9 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 2 | 5 | 8 | 7 | 2 | 1 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 2 + 5 + 8 + 7 + 2 + 1 + 1 + 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 = 8 | 8 | ||||||||
The NPI number 1215471198 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 15 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1508803370 | FAMILY PRACTICE ASSOCIATES, PC Organization | Family Medicine | 4233 HIGHWAY 411 MADISONVILLE, TN 37354 (423) 442-2622 |
| 1336342617 | MELISSA W HAUN F.N.P. Individual | Nurse Practitioner | 4233 HIGHWAY 411 MADISONVILLE, TN 37354 (423) 442-2622 |
| 1043532419 | TRACY STRATTON Individual | Nurse Practitioner (Family) | 4233 HIGHWAY 411 MADISONVILLE, TN 37354 (423) 442-2622 |
| 1205122587 | MRS. LINDA W BOYATT ARNP Individual | Nurse Practitioner (Family) | 4233 HIGHWAY 411 MADISONVILLE, TN 37354 (423) 442-2622 |
| 1376983502 | RACHAEL CARRINGER Individual | Nurse Practitioner (Family) | 4233 HIGHWAY 411 MADISONVILLE, TN 37354 (423) 442-2622 |
| 1326592809 | BROOKE TORBETT FNP Individual | Clinical Nurse Specialist (Family Health) | 4233 HIGHWAY 411 MADISONVILLE, TN 37354 (423) 442-8084 |
| 1255850400 | R ANDREW TURNER DDS MDS PLLC Organization | Dentist (Orthodontics and Dentofacial Orthopedics) | 4233 HIGHWAY 411 MADISONVILLE, TN 37354 (865) 742-2587 |
| 1962877712 | ACCESS MEDICAL CARE OF MONROE COUNTY PC Organization | General Practice | 4233 HIGHWAY 411 MADISONVILLE, TN 37354 (423) 442-8084 |
| 1194203786 | JAMIE NICOLE DAUGHERTY FNP-C Individual | Nurse Practitioner (Family) | 4233 HIGHWAY 411 MADISONVILLE, TN 37354 (423) 442-8084 |
| 1861931800 | BETTY GAYLE BENNETT FNP-BC Individual | Nurse Practitioner (Family) | 4233 HIGHWAY 411 MADISONVILLE, TN 37354 (423) 442-8084 |
| 1629641139 | TIFFANY NORTON MSN Individual | Nurse Practitioner (Family) | 4233 HIGHWAY 411 MADISONVILLE, TN 37354 (423) 442-8084 |
| 1902580392 | REBECCA NICHOLSON LMSW Individual | Social Worker (Clinical) | 4233 HIGHWAY 411 MADISONVILLE, TN 37354 (423) 442-8084 |
| 1700352812 | CHERYL F SCARLETT Individual | Counselor (Mental Health) | 4233 HIGHWAY 411 MADISONVILLE, TN 37354 (423) 442-8084 |
| 1366214561 | DIANA LYNN KELLY Individual | Counselor (Mental Health) | 4233 HIGHWAY 411 MADISONVILLE, TN 37354 (423) 442-8082 |
| 1861911109 | MARK A BRITTON DDS PLLC Organization | Dentist (General Practice) | 4233 HIGHWAY 411 MADISONVILLE, TN 37354 (865) 924-8651 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215471198, enumerated in the NPI registry as an "organization" on December 12, 2016
The provider is located at 4233 Highway 411 Suite B Madisonville, Tn 37354 and the phone number is (423) 745-7500
This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health
The provider's CLIA number is 44D2122410 for a "rural health clinic" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on December 12, 2016. 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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