TANDEM PRIMARY CARE, PLLC
NPI 1467118059
Physician Assistant in Durham, NC

NPI Status: Active since November 09, 2021

Contact Information

105 NEWSOM ST STE 106
DURHAM, NC
ZIP 27704
Phone: (704) 649-1527
Fax: (919) 321-0401

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  • Organization
  • Physician Assistant
  • CLIA Number: 34D2275318
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-18-2027

About TANDEM PRIMARY CARE, PLLC

This page provides the complete NPI Profile along with additional information for Tandem Primary Care, Pllc, a primary care provider established in Durham, North Carolina operating as a Physician Assistant. The healthcare provider is registered in the NPI registry with number 1467118059 assigned on November 2021. The practitioner's primary taxonomy code is 363A00000X. The provider is registered as an organization and their NPI record was last updated 3 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 Ijeoma Mbanuzue Perkins Mhs, Pa-c (Ceo)

NPI
1467118059
Provider Name
TANDEM PRIMARY CARE, PLLC
Entity Type
Organization
Location Address
105 NEWSOM ST STE 106 DURHAM, NC 27704
Location Phone
(704) 649-1527
Location Fax
(919) 321-0401
Mailing Address
105 NEWSOM ST STE 106 DURHAM, NC 27704
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-09-2021
Last Update Date
03-28-2023
Code Navigator

A primary care provider (PCP) like Tandem Primary Care, Pllc 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

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Group Taxonomy 193400000X 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:

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

IJEOMA MBANUZUE PERKINS MHS, PA-C

Authorized Official Title
CEO
Authorized Official Phone
(919) 321-0418

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
1467118059MEDICAID (05)NC 
NC1105O002OTHER (01)NCMEDICARE

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
34D2275318
Facility Type
Physician Office
Certificate Effective Date
January 19, 2025
Certificate Expiration Date
January 18, 2027
Laboratory Director
IJEOMA M. PERKINS
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Tandem Primary Care, Pllc 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.
1467118059
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241272116010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 2 + 7 + 2 + 1 + 1 + 6 + 0 + 1 + 0 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1467118059 is valid because the calculated check digit 9 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
1114697059NEW START RECOVERY CENTER, PLLC
Organization
General Practice105 NEWSOM ST STE 106
DURHAM, NC 27704
(984) 888-0539
1649588989 IJEOMA MBANUZUE PERKINS PA-C
Individual
Physician Assistant105 NEWSOM ST STE 106
DURHAM, NC 27704
(919) 321-0418

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467118059, enumerated in the NPI registry as an "organization" on November 09, 2021

The provider is located at 105 Newsom St Ste 106 Durham, Nc 27704 and the phone number is (704) 649-1527

This medical organization specializes in Physician Assistant with taxonomy code 363A00000X

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 34D2275318 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 November 09, 2021. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.