HEALTHYKIDS OF GARDENDALE
NPI 1245256494
Preferred Provider Organization in Gardendale, AL

NPI Status: Active since July 14, 2006

Contact Information

1127 PECAN AVE
SUITE 100
GARDENDALE, AL
ZIP 35071
Phone: (205) 608-2055
Fax: (205) 608-2045

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  • Organization
  • Preferred Provider Organization
  • CLIA Number: 01D1032166
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-09-2027

About HEALTHYKIDS OF GARDENDALE

This page provides the complete NPI Profile along with additional information for Healthykids Of Gardendale, a provider established in Gardendale, Alabama operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1245256494 assigned on July 2006. The practitioner's primary taxonomy code is 305R00000X with license number 00023211 (AL). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Dr. Patricia Kay Harris M.d. (President/owner)

NPI
1245256494
Provider Name
HEALTHYKIDS OF GARDENDALE
Entity Type
Organization
Location Address
1127 PECAN AVE SUITE 100 GARDENDALE, AL 35071
Location Phone
(205) 608-2055
Location Fax
(205) 608-2045
Mailing Address
1127 PECAN AVE SUITE 100 GARDENDALE, AL 35071
Mailing Phone
(205) 608-2055
Mailing Fax
(205) 608-2045
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-14-2006
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

Preferred Provider Organization

Taxonomy Code
305R00000X
Type
Managed Care Organizations
License No.
00023211
License State
AL
Taxonomy Description
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

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

DR. PATRICIA KAY HARRIS M.D.

Authorized Official Title
PRESIDENT/OWNER
Authorized Official Phone
(205) 608-2055

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
01D1032166
Facility Type
Physician Office
Certificate Effective Date
February 10, 2025
Certificate Expiration Date
February 09, 2027
Laboratory Director
DR. PATRICIA K. HARRIS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Healthykids Of Gardendale 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.
1245256494
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22854512418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 4 + 5 + 1 + 2 + 4 + 1 + 8 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1245256494 is valid because the calculated check digit 4 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
1528029212 PATRICIA KAY HARRIS M.D.
Individual
Pediatrics1127 PECAN AVE SUITE 100
GARDENDALE, AL 35071
(205) 608-2055
1770502577MRS. SANDRA LEE BRYAN CRNP
Individual
Nurse Practitioner (Pediatrics)1127 PECAN AVE SUITE 100
GARDENDALE, AL 35071
(205) 608-2055

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245256494, enumerated in the NPI registry as an "organization" on July 14, 2006

The provider is located at 1127 Pecan Ave Suite 100 Gardendale, Al 35071 and the phone number is (205) 608-2055

This medical organization specializes in Preferred Provider Organization with taxonomy code 305R00000X

The provider's CLIA number is 01D1032166 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 July 14, 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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