UNIVERSITY OF MONTEVALLO
NPI 1568864494
Orthopaedic Surgery - Sports Medicine in Montevallo, AL

NPI Status: Active since September 23, 2014

Contact Information

75 COLLEGE DR
STATION 6060
MONTEVALLO, AL
ZIP 35115
Phone: (205) 665-6602
Fax: (205) 665-6614

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  • Organization
  • Orthopaedic Surgery
  • Sports Medicine
  • CLIA Number: 01D0906698
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 10-03-2025

About UNIVERSITY OF MONTEVALLO

This page provides the complete NPI Profile along with additional information for University Of Montevallo, a provider established in Montevallo, Alabama operating as a Orthopaedic Surgery, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1568864494 assigned on September 2014. The practitioner's primary taxonomy code is 207XX0005X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's . The authorized official of this NPI record is Ms. Mauren Gregory Lat Atc (Head Athletic Trainer)

NPI
1568864494
Provider Legal Name
UNIVERSITY OF MONTEVALLO
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
75 COLLEGE DR STATION 6060 MONTEVALLO, AL 35115
Location Phone
(205) 665-6602
Location Fax
(205) 665-6614
Mailing Address
75 COLLEGE DR STATION 6602 MONTEVALLO, AL 35115
Mailing Phone
(205) 665-6602
Mailing Fax
(205) 665-6614
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-23-2014
Last Update Date
03-05-2025
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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

Orthopaedic Surgery Sports Medicine

Taxonomy Code
207XX0005X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

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)
12080S0010XAllopathic & Osteopathic Physicians

Pediatrics
Sports Medicine

 

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.

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

MS. MAUREN GREGORY LAT ATC

Authorized Official Title
HEAD ATHLETIC TRAINER
Authorized Official Phone
(205) 665-6602

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
01D0906698
Facility Type
School/Student Health Service
Certificate Effective Date
October 04, 2023
Certificate Expiration Date
October 03, 2025
Laboratory Director
KIM MOON PA-C
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to University Of Montevallo 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.

Reviews for UNIVERSITY OF MONTEVALLO

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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.
1568864494
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251281668418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 6 + 6 + 8 + 4 + 1 + 8 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1568864494 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 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1699174334MR. BENJAMIN J GEARHART ATC, LAT, MED.
Individual
Specialist/Technologist (Athletic Trainer)75 COLLEGE DR
MONTEVALLO, AL 35115
(812) 603-4434
1649672254 MARCELO GALAFASSI ATC, LAT
Individual
Specialist/Technologist (Athletic Trainer)75 COLLEGE DR STATION 6600
MONTEVALLO, AL 35115
(205) 665-6602
1194892273MRS. KIMBERLY ANN MOON PA-C
Individual
Physician Assistant75 COLLEGE DR UNIVERSITY OF MONTEVALLO
MONTEVALLO, AL 35115
(205) 665-6275
1649922337 CAITLYNN MARIANNE EMICK
Individual
Specialist/Technologist (Athletic Trainer)75 COLLEGE DR
MONTEVALLO, AL 35115
(205) 665-6000
1235565466 MAUREEN KRAUSS GREGORY LAT ATC
Individual
Specialist/Technologist (Athletic Trainer)75 COLLEGE DR
MONTEVALLO, AL 35115
(484) 903-6357
1366084238DR. LOLITA KINCADE
Individual
Counselor75 COLLEGE DR STATION 6385, BLOCH 105
MONTEVALLO, AL 35115
(205) 665-6382
1548914377 ERICA TYLER MORRISON PA-C
Individual
Physician Assistant75 COLLEGE DR
MONTEVALLO, AL 35115
(205) 665-6275

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568864494, enumerated in the NPI registry as an "organization" on September 23, 2014

The provider is located at 75 College Dr Station 6060 Montevallo, Al 35115 and the phone number is (205) 665-6602

This medical organization specializes in Orthopaedic Surgery with taxonomy code 207XX0005X with a focus in Sports Medicine

The provider's CLIA number is 01D0906698 for a "school/student health service" 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 September 23, 2014. 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.