ROCKINGHAM COUNTY HIGH SCHOOL STUDENT HEALTH CENTER
NPI 1801921390
Pediatrics - Adolescent Medicine in Reidsville, NC

NPI Status: Active since February 23, 2007

Contact Information

180 HIGH SCHOOL RD
REIDSVILLE, NC
ZIP 27320
Phone: (336) 634-3201
Fax: (336) 634-3201

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  • Organization
  • Pediatrics
  • Adolescent Medicine
  • CLIA Number: 34D1009251
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 02-10-2027

About ROCKINGHAM COUNTY HIGH SCHOOL STUDENT HEALTH CENTER

This page provides the complete NPI Profile along with additional information for Rockingham County High School Student Health Center, a pediatrician established in Reidsville, North Carolina operating as a Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1801921390 assigned on February 2007. The practitioner's primary taxonomy code is 2080A0000X with license number 200400651 (NC). The provider is registered as an organization and their NPI record was last updated 2 years ago. Rockingham County High School Student Health Center operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Rockingham County High School Student Health Center. The authorized official of this NPI record is Karen Ann Shadowens (Cfo, Vp)

NPI
1801921390
Provider Legal Name
UNC ROCKINGHAM HEALTH CARE, INC.
Other Organization Name
ROCKINGHAM COUNTY HIGH SCHOOL STUDENT HEALTH CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
180 HIGH SCHOOL RD REIDSVILLE, NC 27320
Location Phone
(336) 634-3201
Location Fax
(336) 634-3201
Mailing Address
117 E KINGS HWY EDEN, NC 27288
Mailing Phone
(336) 623-9711
Mailing Fax
(336) 634-3201
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-23-2007
Last Update Date
07-17-2023
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A pediatrician like Rockingham County High School Student Health Center 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.

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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

Pediatrics Adolescent Medicine

Taxonomy Code
2080A0000X
Type
Allopathic & Osteopathic Physicians
License No.
200400651
License State
NC
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.

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)
1163W00000XNursing Service Providers

Registered Nurse

61720 (NC)
2163W00000XNursing Service Providers

Registered Nurse

70791 (NC)
3207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

00-35434 (NC)
4363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

200698 (NC)
5363LP0200XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Pediatrics

300219 (NC)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

KAREN ANN SHADOWENS

Authorized Official Title
CFO, VP
Authorized Official Phone
(336) 627-8512

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
7000803MEDICAID (05)NC 

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
34D1009251
Facility Type
School/Student Health Service
Certificate Effective Date
February 11, 2025
Certificate Expiration Date
February 10, 2027
Laboratory Director
TARA PRUETT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Rockingham County High School Student Health Center 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.

Reviews for ROCKINGHAM COUNTY HIGH SCHOOL STUDENT HEALTH CENTER

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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.
1801921390
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28011822318
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 0 + 1 + 1 + 8 + 2 + 2 + 3 + 1 + 8 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1801921390 is valid because the calculated check digit 0 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 1801921390, enumerated in the NPI registry as an "organization" on February 23, 2007

The provider is located at 180 High School Rd Reidsville, Nc 27320 and the phone number is (336) 634-3201

This medical organization specializes in Pediatrics with taxonomy code 2080A0000X with a focus in Adolescent Medicine

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.

The provider's CLIA number is 34D1009251 for a "school/student health service" 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 February 23, 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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