CAROLINA DIGESTIVE DISEASES, PA
NPI 1447339767
Internal Medicine - Gastroenterology in Greenville, NC

NPI Status: Active since November 06, 2006

Contact Information

704 WH SMITH BLVD
GREENVILLE, NC
ZIP 27834
Phone: (252) 758-8181
Fax: (252) 758-8182

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  • Organization
  • Internal Medicine
  • Gastroenterology
  • Accepts Insurance
  • CLIA Number: 34D2055053
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-29-2026

About CAROLINA DIGESTIVE DISEASES, PA

This page provides the complete NPI Profile along with additional information for Carolina Digestive Diseases, Pa, an internist established in Greenville, North Carolina operating as a Internal Medicine, focusing in gastroenterology . The healthcare provider is registered in the NPI registry with number 1447339767 assigned on November 2006. The practitioner's primary taxonomy code is 207RG0100X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Jazett Shivers (Administrator)

NPI
1447339767
Provider Name
CAROLINA DIGESTIVE DISEASES, PA
Entity Type
Organization
Location Address
704 WH SMITH BLVD GREENVILLE, NC 27834
Location Phone
(252) 758-8181
Location Fax
(252) 758-8182
Mailing Address
704 WH SMITH BLVD GREENVILLE, NC 27834
Mailing Phone
(252) 758-8181
Mailing Fax
(252) 758-8182
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-06-2006
Last Update Date
08-05-2020
Code Navigator

An internist like Carolina Digestive Diseases, Pa is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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

Internal Medicine Gastroenterology

Taxonomy Code
207RG0100X
Type
Allopathic & Osteopathic Physicians
License State
NC
Taxonomy Description
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1174400000XOther Service Providers

Specialist

 
2174400000XOther Service Providers

Specialist

(NC)

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Connect Bronze 5500 Indiv Med Deductible - HMO
  • Connect Bronze 6500 Indiv Med Deductible - HMO
  • Connect Bronze CMS Standard - HMO
  • Connect Gold CMS Standard - HMO
  • Connect Silver 3500 Indiv Med Deductible - HMO
  • Connect Silver 4400 Indiv Med Deductible - HMO
  • Connect Silver CMS Standard - HMO

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.

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

JAZETT SHIVERS

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(252) 758-8181

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
5906998MEDICAID (05)NC 

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
34D2055053
Facility Type
Physician Office
Certificate Effective Date
April 30, 2024
Certificate Expiration Date
April 29, 2026
Laboratory Director
HUANKAI R. HU
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Carolina Digestive Diseases, Pa 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.
1447339767
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24876318712
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 8 + 7 + 6 + 3 + 1 + 8 + 7 + 1 + 2 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1447339767 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1346406147DR. PHILLIP J. GOLDSTEIN M.D.
Individual
Internal Medicine (Gastroenterology)704 WH SMITH BLVD CAROLINA DIGESTIVE DISEASES, PA
GREENVILLE, NC 27834
(252) 758-8181
1578850384CAROLINA DIGESTIVE, LLC
Organization
Internal Medicine (Gastroenterology)704 WH SMITH BLVD
GREENVILLE, NC 27834
(252) 758-8181
1336502863 MAURICE SHAWN MARCUARD MD
Individual
Internal Medicine (Gastroenterology)704 WH SMITH BLVD
GREENVILLE, NC 27834
(252) 758-8181

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447339767, enumerated in the NPI registry as an "organization" on November 06, 2006

The provider is located at 704 Wh Smith Blvd Greenville, Nc 27834 and the phone number is (252) 758-8181

This medical organization specializes in Internal Medicine with taxonomy code 207RG0100X with a focus in Gastroenterology

The provider might be accepting Accepts: Cigna Healthcare, 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 34D2055053 for a "physician office" 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 November 06, 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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