ARDMORE FAMILY PRACTICE P.A.
NPI 1750342820
Family Medicine in Winston Salem, NC
NPI Status: Active since March 29, 2006
Contact Information
2805 LYNDHURST AVE
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 659-0076
Fax: (336) 659-0272
- Organization
- Family Medicine
- Accepts Insurance
- CLIA Number: 34D0960750
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-30-2025
About ARDMORE FAMILY PRACTICE P.A.
This page provides the complete NPI Profile along with additional information for Ardmore Family Practice P.a., a primary care provider established in Winston Salem, North Carolina operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1750342820 assigned on March 2006. The practitioner's primary taxonomy code is 207Q00000X. 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 Mrs. Debra H. Alford Lpn (Practice Manager)
- NPI
- 1750342820
- Provider Name
- ARDMORE FAMILY PRACTICE P.A.
- Entity Type
- Organization
- Location Address
- 2805 LYNDHURST AVE WINSTON SALEM, NC 27103
- Location Phone
- (336) 659-0076
- Location Fax
- (336) 659-0272
- Mailing Address
- 2805 LYNDHURST AVE WINSTON SALEM, NC 27103
- Mailing Phone
- (336) 659-0076
- Mailing Fax
- (336) 659-0272
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-29-2006
- Last Update Date
- 08-20-2009
- Code Navigator
A primary care provider (PCP) like Ardmore Family Practice P.a. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AmeriHealth Caritas Next Bronze Essential + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Premier + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Signature + No Referrals - HMO
- AmeriHealth Caritas Next Gold Deluxe + No Referrals - HMO
- AmeriHealth Caritas Next Gold Signature + No Referrals - HMO
- AmeriHealth Caritas Next Silver Deluxe + No Referrals - HMO
- AmeriHealth Caritas Next Silver Premier + No Referrals - HMO
- AmeriHealth Caritas Next Silver Signature + No Referrals - HMO
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.
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 |
|---|---|---|---|
| 7902204 | MEDICAID (05) | NY | |
| 2343871 | MEDICARE ID-TYPE UNSPECIFIED (04) | NC | GROUP NUMBER |
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
- 34D0960750
- Facility Type
- Physician Office
- Certificate Effective Date
- August 20, 2021
- Certificate Expiration Date
- June 30, 2025
- Laboratory Director
- AMY C. SAPP
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Ardmore Family Practice P.a. 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 | 7 | 5 | 0 | 3 | 4 | 2 | 8 | 2 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 6 | 4 | 4 | 8 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 6 + 4 + 4 + 8 + 4 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1750342820 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1720073711 | DR. AMY CAROLINE SAPP M.D. Individual | Family Medicine | 2805 LYNDHURST AVE WINSTON-SALEM, NC 27103 (336) 659-0076 |
| 1952634396 | CAROLINE GOLDEN GRANDIS NP-C Individual | Nurse Practitioner (Primary Care) | 2805 LYNDHURST AVE WINSTON SALEM, NC 27103 (336) 659-0076 |
| 1225409758 | NINA HUNDLEY Individual | Nurse Practitioner (Family) | 2805 LYNDHURST AVE WINSTON SALEM, NC 27103 (336) 659-0076 |
| 1851730741 | HEATHER DANIELLE MARADIAGA PA-C Individual | Physician Assistant (Medical) | 2805 LYNDHURST AVE WINSTON SALEM, NC 27103 (336) 659-0076 |
| 1558713370 | EILEEN MARGARET TAGUE NP Individual | Nurse Practitioner | 2805 LYNDHURST AVE WINSTON SALEM, NC 27103 (336) 659-0076 |
| 1578842894 | MRS. RACHEL MARIE COURTEMANCHE P.A. Individual | Physician Assistant (Medical) | 2805 LYNDHURST AVE WINSTON SALEM, NC 27103 (336) 659-0076 |
| 1760477335 | DR. ROBERT DEAN ROSEN M.D. Individual | Family Medicine | 2805 LYNDHURST AVE WINSTON-SALEM, NC 27103 (336) 659-0076 |
| 1396402806 | AMANDA EVANS FNP Individual | Nurse Practitioner (Family) | 2805 LYNDHURST AVE WINSTON SALEM, NC 27103 (336) 659-0076 |
| 1245299262 | SUSAN MARIE DIPERT-SCOTT FNP Individual | Nurse Practitioner (Family) | 2805 LYNDHURST AVE WINSTON SALEM, NC 27103 (336) 659-0076 |
| 1588849350 | MRS. JENNIFER M SMITH NP Individual | Nurse Practitioner | 2805 LYNDHURST AVE WINSTON SALEM, NC 27103 (336) 659-0076 |
| 1699594903 | ERIN NOECKER Individual | Nurse Practitioner (Family) | 2805 LYNDHURST AVE WINSTON SALEM, NC 27103 (336) 659-0076 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750342820, enumerated in the NPI registry as an "organization" on March 29, 2006
The provider is located at 2805 Lyndhurst Ave Winston Salem, Nc 27103 and the phone number is (336) 659-0076
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: AmeriHealth Caritas Next, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 34D0960750 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 March 29, 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].
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