MAGNOLIA PEDIATRICS SOUTH INC
NPI 1760442164
Pediatrics - Adolescent Medicine in Birmingham, AL
NPI Status: Active since March 28, 2006
Contact Information
1621 11TH AVE S
BIRMINGHAM, AL
ZIP 35205
Phone: (205) 930-9500
- Organization
- Pediatrics
- Adolescent Medicine
- CLIA Number: 01D0300671
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-11-2026
About MAGNOLIA PEDIATRICS SOUTH INC
This page provides the complete NPI Profile along with additional information for Magnolia Pediatrics South Inc, a pediatrician established in Birmingham, Alabama operating as a Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1760442164 assigned on March 2006. The practitioner's primary taxonomy code is 2080A0000X. The provider is registered as an organization and their NPI record was last updated 5 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 Dr. Paul Amamoo (Sect-treasurer)
- NPI
- 1760442164
- Provider Name
- MAGNOLIA PEDIATRICS SOUTH INC
- Entity Type
- Organization
- Location Address
- 1621 11TH AVE S BIRMINGHAM, AL 35205
- Location Phone
- (205) 930-9500
- Mailing Address
- 1621 11TH AVE S BIRMINGHAM, AL 35205
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-28-2006
- Last Update Date
- 08-22-2020
- Code Navigator
A pediatrician like Magnolia Pediatrics South Inc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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
Pediatrics Adolescent Medicine
- Taxonomy Code
- 2080A0000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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
- 01D0300671
- Facility Type
- Physician Office
- Certificate Effective Date
- February 12, 2024
- Certificate Expiration Date
- February 11, 2026
- Laboratory Director
- DR. JACQUELINE STEWART
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Magnolia Pediatrics South Inc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha 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 | 6 | 0 | 4 | 4 | 2 | 1 | 6 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 12 | 0 | 8 | 4 | 4 | 1 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 2 + 0 + 8 + 4 + 4 + 1 + 1 + 2 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1760442164 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1114999174 | DR. EVA VENEQUE ALLEN M.D. Individual | Pediatrics | 1621 11TH AVE S BIRMINGHAM, AL 35205 (205) 930-9500 |
| 1871565952 | DR. PAUL AMARTEY AMAMOO MD Individual | Pediatrics (Adolescent Medicine) | 1621 11TH AVE S BIRMINGHAM, AL 35205 (205) 930-9500 |
| 1619949146 | DR. JACQUELINE W. STEWART M.D. Individual | Pediatrics | 1621 11TH AVE S BIRMINGHAM, AL 35205 (205) 930-9500 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760442164, enumerated in the NPI registry as an "organization" on March 28, 2006
The provider is located at 1621 11th Ave S Birmingham, Al 35205 and the phone number is (205) 930-9500
This medical organization specializes in Pediatrics with taxonomy code 2080A0000X with a focus in Adolescent Medicine
The provider's CLIA number is 01D0300671 for a "physician office" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on March 28, 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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