CHILTON MEDICAL GROUP P C
NPI 1629121553
Legal Medicine in Clanton, AL
NPI Status: Active since January 22, 2007
Contact Information
108 MEDICAL CENTER DR
CLANTON, AL
ZIP 35045
Phone: (205) 755-5700
Fax: (888) 418-7660
- Organization
- Legal Medicine
- CLIA Number: 01D0977694
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-05-2027
About CHILTON MEDICAL GROUP P C
This page provides the complete NPI Profile along with additional information for Chilton Medical Group P C, a provider established in Clanton, Alabama operating as a Legal Medicine. The healthcare provider is registered in the NPI registry with number 1629121553 assigned on January 2007. The practitioner's primary taxonomy code is 173000000X. 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 authorized official of this NPI record is Heather Renee Gann (Administrator)
- NPI
- 1629121553
- Provider Name
- CHILTON MEDICAL GROUP P C
- Entity Type
- Organization
- Location Address
- 108 MEDICAL CENTER DR CLANTON, AL 35045
- Location Phone
- (205) 755-5700
- Location Fax
- (888) 418-7660
- Mailing Address
- 108 MEDICAL CENTER DR CLANTON, AL 35045
- Mailing Phone
- (205) 755-5700
- Mailing Fax
- (888) 418-7660
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-22-2007
- Last Update Date
- 03-28-2024
- 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
Legal Medicine
- Taxonomy Code
- 173000000X
- Type
- Other Service Providers
- Taxonomy Description
- The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.
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
- 01D0977694
- Facility Type
- Physician Office
- Certificate Effective Date
- February 06, 2025
- Certificate Expiration Date
- February 05, 2027
- Laboratory Director
- CHARLES KEITH FUNDERBURK
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Chilton Medical Group P C 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. | |||||||||
| 1 | 6 | 2 | 9 | 1 | 2 | 1 | 5 | 5 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 4 | 9 | 2 | 2 | 2 | 5 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 4 + 9 + 2 + 2 + 2 + 5 + 1 + 0 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1629121553 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1932198058 | MR. JASON H DEBERRY MD Individual | Internal Medicine | 108 MEDICAL CENTER DR CLANTON, AL 35045 (205) 755-5700 |
| 1962968974 | MS. ISABELLA CHILDRESS HUDSON CRNP Individual | Family Medicine | 108 MEDICAL CENTER DR CLANTON, AL 35045 (205) 755-5700 |
| 1447249750 | MR. CHARLES KEITH FUNDERBURK MD Individual | Family Medicine | 108 MEDICAL CENTER DR CLANTON, AL 35045 (205) 755-5700 |
| 1750154852 | MISS TOSHIA NICOLE MILAM CRNP MSN, FNP-BC Individual | Family Medicine | 108 MEDICAL CENTER DR CLANTON, AL 35045 (205) 755-5700 |
| 1700875028 | MR. KRISTOPHER R WOOD MD Individual | Internal Medicine | 108 MEDICAL CENTER DR CLANTON, AL 35045 (205) 755-5700 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629121553, enumerated in the NPI registry as an "organization" on January 22, 2007
The provider is located at 108 Medical Center Dr Clanton, Al 35045 and the phone number is (205) 755-5700
This medical organization specializes in Legal Medicine with taxonomy code 173000000X
The provider's CLIA number is 01D0977694 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 January 22, 2007. 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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