ATLANTIS PAIN CARE
NPI 1578872602
Clinic/Center - Pain in Melbourne, FL
NPI Status: Active since October 07, 2010
Contact Information
3150 N WICKHAM RD
SUITE 9
MELBOURNE, FL
ZIP 32935
Phone: (321) 773-4134
Fax: (321) 574-5611
- Organization
- Clinic/Center
- Pain
- CLIA Number: 10D2015186
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-24-2026
About ATLANTIS PAIN CARE
This page provides the complete NPI Profile along with additional information for Atlantis Pain Care, a provider established in Melbourne, Florida operating as a Clinic/center, focusing in pain . The healthcare provider is registered in the NPI registry with number 1578872602 assigned on October 2010. The practitioner's primary taxonomy code is 261QP3300X with license number PMC1568 (FL). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Atlantis Pain Care. The authorized official of this NPI record is Mr. C R Long (Managing Member)
- NPI
- 1578872602
- Provider Legal Name
- PAIN CARE MANAGEMENT OF MELBOURNE, LLC
- Other Organization Name
- ATLANTIS PAIN CARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3150 N WICKHAM RD SUITE 9 MELBOURNE, FL 32935
- Location Phone
- (321) 773-4134
- Location Fax
- (321) 574-5611
- Mailing Address
- 5036 DR PHILLIPS BLVD SUITE 337 ORLANDO, FL 32819
- Mailing Phone
- (321) 251-4462
- Mailing Fax
- (321) 574-5611
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-07-2010
- Last Update Date
- 02-13-2014
- 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
Clinic/Center Pain
- Taxonomy Code
- 261QP3300X
- Type
- Ambulatory Health Care Facilities
- License No.
- PMC1568
- License State
- FL
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
- 10D2015186
- Facility Type
- Physician Office
- Certificate Effective Date
- October 25, 2024
- Certificate Expiration Date
- October 24, 2026
- Laboratory Director
- MOHAMMAD H. GHARAVI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Atlantis Pain Care 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 | 5 | 7 | 8 | 8 | 7 | 2 | 6 | 0 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 14 | 8 | 16 | 7 | 4 | 6 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 4 + 8 + 1 + 6 + 7 + 4 + 6 + 0 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1578872602 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1265857403 | NU-ME FITNESS AND EQUIPMENT Organization | Clinic/Center | 3150 N WICKHAM RD SUITE 9 MELBOURNE, FL 32935 (386) 479-6620 |
| 1558388454 | DR. THOMAS KARL VELLEFF JR. M. D. Individual | Pain Medicine (Pain Medicine) | 3150 N WICKHAM RD SUITE 9 MELBOURNE, FL 32935 (321) 241-6441 |
| 1235591025 | MARK C. DILLON, M.D. PLLC Organization | Internal Medicine (Gastroenterology) | 3150 N WICKHAM RD SUITE 6 MELBOURNE, FL 32935 (321) 242-3227 |
| 1558311282 | DR. SHARON ANGELA DILLON M.D. Individual | Pediatrics | 3150 N WICKHAM RD MELBOURNE, FL 32935 (321) 242-3227 |
| 1053032995 | KRISTEN RAINS NP Individual | Nurse Practitioner (Family) | 3150 N WICKHAM RD MELBOURNE, FL 32935 (321) 775-3334 |
| 1013348234 | NU-ME FITNESS AND EQUIPMENT CORP Organization | Clinic/Center (Pain) | 3150 N WICKHAM RD SUITE 9 MELBOURNE, FL 32935 (321) 241-6441 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578872602, enumerated in the NPI registry as an "organization" on October 07, 2010
The provider is located at 3150 N Wickham Rd Suite 9 Melbourne, Fl 32935 and the phone number is (321) 773-4134
This medical organization specializes in Clinic/Center with taxonomy code 261QP3300X with a focus in Pain
The provider's CLIA number is 10D2015186 for a "physician office" 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 October 07, 2010. 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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