DR SUMPTER D BLACKMON PA
NPI 1720153539
Clinic/Center in Camden, AL

NPI Status: Active since November 21, 2006

Contact Information

321 WHISKEY RUN RD
CAMDEN, AL
ZIP 36726
Phone: (334) 682-4128
Fax: (334) 682-9151

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  • Organization
  • Clinic/Center

About DR SUMPTER D BLACKMON PA

This page provides the complete NPI Profile along with additional information for Dr Sumpter D Blackmon Pa, a provider established in Camden, Alabama operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1720153539 assigned on November 2006. The practitioner's primary taxonomy code is 261Q00000X with license number 5754 (AL). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Dr. Sumpter Dudley Blackmon M.d. (President)

NPI
1720153539
Provider Name
DR SUMPTER D BLACKMON PA
Entity Type
Organization
Location Address
321 WHISKEY RUN RD CAMDEN, AL 36726
Location Phone
(334) 682-4128
Location Fax
(334) 682-9151
Mailing Address
PO BOX 699 CAMDEN, AL 36726
Mailing Phone
(334) 682-4128
Mailing Fax
(334) 682-9151
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-21-2006
Last Update Date
02-02-2010
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
5754
License State
AL
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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

DR. SUMPTER DUDLEY BLACKMON M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(334) 682-4128

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
000000454MEDICARE ID-TYPE UNSPECIFIED (04)AL 
000000454MEDICAID (05)AL 
C71994MEDICARE UPIN (02)AL 

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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.
1720153539
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
274025656
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 2 + 5 + 6 + 5 + 6 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1720153539 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 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1972506194DR. SUMPTER DUDLEY BLACKMON M.D.
Individual
Family Medicine321 WHISKEY RUN RD
CAMDEN, AL 36726
(334) 682-4128
1366219669 AMANDA HOWARD COTTON LICSW
Individual
Social Worker (Clinical)321 WHISKEY RUN RD
CAMDEN, AL 36726
(334) 682-4128
1386388569 MICHAEL MCNABNEY MD
Individual
Family Medicine321 WHISKEY RUN RD
CAMDEN, AL 36726
(334) 682-4128
1316401557J PAUL JONES HOSPITAL PRIMARY CARE CLINIC
Organization
Clinic/Center (Primary Care)321 WHISKEY RUN RD
CAMDEN, AL 36726
(334) 682-4128

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720153539, enumerated in the NPI registry as an "organization" on November 21, 2006

The provider is located at 321 Whiskey Run Rd Camden, Al 36726 and the phone number is (334) 682-4128

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

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.

This NPI record was last updated on November 21, 2006. 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.