GREENBRIAR PRIMARY CARE, PA
NPI 1477789147
Nurse Practitioner - Family in Statesville, NC
NPI Status: Active since June 08, 2009
Contact Information
308-C MOCKSVILLE HIGHWAY
STATESVILLE, NC
ZIP 28625
Phone: (704) 873-4484
Fax: (704) 873-4485
- Organization
- Nurse Practitioner
- Family
- CLIA Number: 34D1100790
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 06-11-2027
About GREENBRIAR PRIMARY CARE, PA
This page provides the complete NPI Profile along with additional information for Greenbriar Primary Care, Pa, a provider established in Statesville, North Carolina operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1477789147 assigned on June 2009. The practitioner's primary taxonomy code is 363LF0000X with license number 201255 (NC). The provider is registered as an organization and their NPI record was last updated 16 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 Judy L Keighron Np (President)
- NPI
- 1477789147
- Provider Name
- GREENBRIAR PRIMARY CARE, PA
- Entity Type
- Organization
- Location Address
- 308-C MOCKSVILLE HIGHWAY STATESVILLE, NC 28625
- Location Phone
- (704) 873-4484
- Location Fax
- (704) 873-4485
- Mailing Address
- 308-C MOCKSVILLE HIGHWAY STATESVILLE, NC 28625
- Mailing Phone
- (704) 873-4484
- Mailing Fax
- (704) 873-4485
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-08-2009
- Last Update Date
- 08-21-2009
- Code Navigator
A nurse practitioner (NP) like Greenbriar Primary Care, Pa is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, 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
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 201255
- License State
- NC
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.
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
- 34D1100790
- Facility Type
- Practitioner Other
- Certificate Effective Date
- June 12, 2025
- Certificate Expiration Date
- June 11, 2027
- Laboratory Director
- JUDY L. KEIGHRON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Greenbriar Primary Care, Pa 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 | 7 | 7 | 7 | 8 | 9 | 1 | 4 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 14 | 7 | 14 | 8 | 18 | 1 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 4 + 7 + 1 + 4 + 8 + 1 + 8 + 1 + 8 + 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 = 7 | 7 | ||||||||
The NPI number 1477789147 is valid because the calculated check digit 7 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 1477789147, enumerated in the NPI registry as an "organization" on June 08, 2009
The provider is located at 308-c Mocksville Highway Statesville, Nc 28625 and the phone number is (704) 873-4484
This medical organization specializes in Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider's CLIA number is 34D1100790 for a "practitioner other" 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 June 08, 2009. 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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