SEQUATCHIE VALLEY UROLOGY, LLC
NPI 1225025653
Urology in Jasper, TN

NPI Status: Active since September 30, 2005

Contact Information

980 HIGHWAY 28
SUITE 201
JASPER, TN
ZIP 37347
Phone: (423) 942-2555
Fax: (423) 942-2005

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  • Organization
  • Urology
  • CLIA Number: 44D1018014
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-09-2025

About SEQUATCHIE VALLEY UROLOGY, LLC

This page provides the complete NPI Profile along with additional information for Sequatchie Valley Urology, Llc, a provider established in Jasper, Tennessee operating as a Urology. The healthcare provider is registered in the NPI registry with number 1225025653 assigned on September 2005. The practitioner's primary taxonomy code is 208800000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Sequatchie Valley Urology, Llc 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 Mr. Patrick Birmingham (Director)

NPI
1225025653
Provider Name
SEQUATCHIE VALLEY UROLOGY, LLC
Entity Type
Organization
Location Address
980 HIGHWAY 28 SUITE 201 JASPER, TN 37347
Location Phone
(423) 942-2555
Location Fax
(423) 942-2005
Mailing Address
980 HIGHWAY 28 SUITE 201 JASPER, TN 37347
Mailing Phone
(423) 942-2555
Mailing Fax
(423) 942-2005
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-30-2005
Last Update Date
08-22-2020
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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

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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.

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

MR. PATRICK BIRMINGHAM

Authorized Official Title
DIRECTOR
Authorized Official Phone
(615) 373-7625

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
44D1018014
Facility Type
Physician Office
Certificate Effective Date
October 10, 2023
Certificate Expiration Date
October 09, 2025
Laboratory Director
KARIN A. BOECK MD
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Sequatchie Valley Urology, Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate 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.
1225025653
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22450210610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 4 + 5 + 0 + 2 + 1 + 0 + 6 + 1 + 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 = 33

The NPI number 1225025653 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 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1982602504 ROBERT S COLLINS MD
Individual
Orthopaedic Surgery980 HIGHWAY 28 STE 102
JASPER, TN 37347
(423) 942-2851
1669414090 PARVEEN B MAKHNI MD
Individual
Internal Medicine980 HIGHWAY 28 SUITE 101
JASPER, TN 37347
(423) 942-3409
1265474159DR. EDWARD L MOSLEY M.D.
Individual
Surgery980 HIGHWAY 28 SUITE 203
JASPER, TN 37347
(423) 942-8262
1205870524GRANDVIEW CARDIOLOGY, LLC
Organization
Internal Medicine (Cardiovascular Disease)980 HIGHWAY 28 SUITE 102
JASPER, TN 37347
(423) 648-4380
1376589499 RICHARD LAWRENCE LEVINE MD
Individual
Urology980 HIGHWAY 28 SUITE 201
JASPER, TN 37347
(423) 942-2000
1285769463GRANDVIEW PHYSICIAN GROUP LLC
Organization
General Practice980 HIGHWAY 28 SUITE 102
JASPER, TN 37347
(423) 837-9500
1245423839EDWARD L MOSLEY JR
Organization
Surgery980 HIGHWAY 28 SUITE 203
JASPER, TN 37347
(423) 942-8262
1144546375MAKHNI CARDIOLOGY AND MEDICAL ASSOCIATES PA
Organization
Pediatrics980 HIGHWAY 28 SUITE 101
JASPER, TN 37347
(423) 942-3409
1740262427DR. SCOTT EUGENE DESJARLAIS MD
Individual
Family Medicine980 HIGHWAY 28 SUITE 100
JASPER, TN 37347
(423) 942-1602
1497019707MEDICAL ARTS PLAZA, P.C.
Organization
Family Medicine980 HIGHWAY 28 SUITE 100
JASPER, TN 37347
(423) 942-1602
1396189510MS. NANCY MUELLER FLEENOR FNP-BC
Individual
Nurse Practitioner (Family)980 HIGHWAY 28 FRANCES H. BARNETT MD FAMILY PRACTICE
JASPER, TN 37347
(423) 942-3869
1194149781FRANCES H BARNETT
Organization
Family Medicine980 HIGHWAY 28 SUITE 200
JASPER, TN 37347
(423) 942-3869
1780963702MR. CHRISTOPHER BRIAN WALLS NP-C
Individual
Nurse Practitioner (Family)980 HIGHWAY 28 SUITE 100
JASPER, TN 37347
(423) 942-1602
1790785079DR. FRANCES H BARNETT M.D.
Individual
Family Medicine980 HIGHWAY 28 SUITE 104
JASPER, TN 37347
(423) 942-3869
1003209982 RHONDA C HILL APN
Individual
Nurse Practitioner (Family)980 HIGHWAY 28 STE 100
JASPER, TN 37347
(423) 939-1500
1790729697DR. MALVINDER S MAKHNI MD
Individual
Internal Medicine (Cardiovascular Disease)980 HIGHWAY 28 SUITE 101
JASPER, TN 37347
(423) 942-1415
1740402296MEDICAL EQUIPMENT DISTRIBUTORS OF TENESSEE
Organization
Durable Medical Equipment & Medical Supplies980 HIGHWAY 28 SUITE 404
JASPER, TN 37347
(423) 942-2556
1720407778 ADRIA SHERRILL APN
Individual
Nurse Practitioner (Family)980 HIGHWAY 28 SUITE 28
JASPER, TN 37347
(423) 942-3869
1417376195VALLEY MEDICAL CARE LLC
Organization
Pediatrics980 HIGHWAY 28 SUITE 100
JASPER, TN 37347
(423) 939-1500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225025653, enumerated in the NPI registry as an "organization" on September 30, 2005

The provider is located at 980 Highway 28 Suite 201 Jasper, Tn 37347 and the phone number is (423) 942-2555

This medical organization specializes in Urology with taxonomy code 208800000X

The provider's CLIA number is 44D1018014 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on September 30, 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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