DIABETES MANAGEMENT ASSOCIATES
NPI 1750891677
Nurse Practitioner - Primary Care in Mt. Pleasant, TN
NPI Status: Active since October 05, 2017
Contact Information
401 FIRST AVENUE
MT. PLEASANT, TN
ZIP 38474
Phone: (931) 325-5560
- Organization
- Nurse Practitioner
- Primary Care
- CLIA Number: 44D2137756
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 10-02-2025
About DIABETES MANAGEMENT ASSOCIATES
This page provides the complete NPI Profile along with additional information for Diabetes Management Associates, a provider established in Mt. Pleasant, Tennessee operating as a Nurse Practitioner, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1750891677 assigned on October 2017. The practitioner's primary taxonomy code is 363LP2300X with license number 6172 (TN). The provider is registered as an organization and their NPI record was last updated 8 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 Julie Sue Wood Dnp (Owner)
- NPI
- 1750891677
- Provider Name
- DIABETES MANAGEMENT ASSOCIATES
- Entity Type
- Organization
- Location Address
- 401 FIRST AVENUE MT. PLEASANT, TN 38474
- Location Phone
- (931) 325-5560
- Mailing Address
- 401 FIRST AVENUE MT. PLEASANT, TN 38474
- Mailing Phone
- (931) 325-5560
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-05-2017
- Last Update Date
- 10-05-2017
- Code Navigator
A nurse practitioner (NP) like Diabetes Management Associates is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, 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
Nurse Practitioner Primary Care
- Taxonomy Code
- 363LP2300X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 6172
- License State
- TN
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) |
|---|---|---|---|---|
| 1 | 163WD0400X | Nursing Service Providers | Registered Nurse | 74273 (TN) |
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
- 44D2137756
- Facility Type
- Practitioner Other
- Certificate Effective Date
- October 03, 2023
- Certificate Expiration Date
- October 02, 2025
- Laboratory Director
- JULIE WOOD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Diabetes Management Associates 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 | 7 | 5 | 0 | 8 | 9 | 1 | 6 | 7 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 16 | 9 | 2 | 6 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 1 + 6 + 9 + 2 + 6 + 1 + 4 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1750891677 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750891677, enumerated in the NPI registry as an "organization" on October 05, 2017
The provider is located at 401 First Avenue Mt. Pleasant, Tn 38474 and the phone number is (931) 325-5560
This medical organization specializes in Nurse Practitioner with taxonomy code 363LP2300X with a focus in Primary Care
The provider's CLIA number is 44D2137756 for a "practitioner other" 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 05, 2017. 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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