NOVANT HEALTH CLEMMONS OUTPATIENT SURGERY, LLC
NPI 1427697978
Nurse Anesthetist, Certified Registered in Clemmons, NC
NPI Status: Active since January 02, 2020
Contact Information
7210 VILLAGE MEDICAL CIRCEL
STE 235
CLEMMONS, NC
ZIP 27012
Phone: (336) 893-3100
Fax: (336) 893-3109
- Organization
- Nurse Anesthetist, Certified Registered
- CLIA Number: 34D2093161
- CLIA Cert. Type: Industrial
- CLIA Exp. Date: 10-18-2025
About NOVANT HEALTH CLEMMONS OUTPATIENT SURGERY, LLC
This page provides the complete NPI Profile along with additional information for Novant Health Clemmons Outpatient Surgery, Llc, a provider established in Clemmons, North Carolina operating as a Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1427697978 assigned on January 2020. The practitioner's primary taxonomy code is 367500000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Novant Health Clemmons Outpatient Surgery, 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 Gerald Osborne Green (Administrator Asc)
- NPI
- 1427697978
- Provider Name
- NOVANT HEALTH CLEMMONS OUTPATIENT SURGERY, LLC
- Entity Type
- Organization
- Location Address
- 7210 VILLAGE MEDICAL CIRCEL STE 235 CLEMMONS, NC 27012
- Location Phone
- (336) 893-3100
- Location Fax
- (336) 893-3109
- Mailing Address
- 101 N CHERRY ST STE 600 WINSTON SALEM, NC 27101
- Mailing Phone
- (336) 277-1604
- Mailing Fax
- (336) 893-3109
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-02-2020
- Last Update Date
- 01-02-2020
- 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
Nurse Anesthetist, Certified Registered
- Taxonomy Code
- 367500000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy Description
- (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
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.
*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 |
|---|---|---|---|
| 126701 | OTHER (01) | NC | AAAHC |
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
- 34D2093161
- Facility Type
- Industrial
- Certificate Effective Date
- October 19, 2023
- Certificate Expiration Date
- October 18, 2025
- Laboratory Director
- SARAH GORDON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Novant Health Clemmons Outpatient Surgery, Llc 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 | 4 | 2 | 7 | 6 | 9 | 7 | 9 | 7 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 4 | 7 | 12 | 9 | 14 | 9 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 4 + 7 + 1 + 2 + 9 + 1 + 4 + 9 + 1 + 4 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1427697978 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427697978, enumerated in the NPI registry as an "organization" on January 02, 2020
The provider is located at 7210 Village Medical Circel Ste 235 Clemmons, Nc 27012 and the phone number is (336) 893-3100
This medical organization specializes in Nurse Anesthetist, Certified Registered with taxonomy code 367500000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 34D2093161 for a "industrial" 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 January 02, 2020. 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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