NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
NPI 1922767243
Family Medicine in Jacksonville, NC
NPI Status: Active since December 14, 2021
Contact Information
2000 BRABHAM AVE
JACKSONVILLE, NC
ZIP 28546
Phone: (910) 376-3025
Fax: (910) 362-9123
- Organization
- Family Medicine
- CLIA Number: 34D2297341
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-15-2026
About NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
This page provides the complete NPI Profile along with additional information for Novant Health Medical Group Coastal Region, Llc, a primary care provider established in Jacksonville, North Carolina operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1922767243 assigned on December 2021. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Novant Health Medical Group Coastal Region, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Shala Davis (Rcs Manager)
- NPI
- 1922767243
- Provider Name
- NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
- Entity Type
- Organization
- Location Address
- 2000 BRABHAM AVE JACKSONVILLE, NC 28546
- Location Phone
- (910) 376-3025
- Location Fax
- (910) 362-9123
- Mailing Address
- PO BOX 936857 ATLANTA, GA 31193
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-14-2021
- Last Update Date
- 12-14-2021
- Code Navigator
A primary care provider (PCP) like Novant Health Medical Group Coastal Region, Llc 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 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas 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
- 34D2297341
- Facility Type
- Physician Office
- Certificate Effective Date
- January 16, 2024
- Certificate Expiration Date
- January 15, 2026
- Laboratory Director
- PHILLIP MARKS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Novant Health Medical Group Coastal Region, Llc 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 NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
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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 | 9 | 2 | 2 | 7 | 6 | 7 | 2 | 4 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 4 | 2 | 14 | 6 | 14 | 2 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 4 + 2 + 1 + 4 + 6 + 1 + 4 + 2 + 8 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1922767243 is valid because the calculated check digit 3 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 |
|---|---|---|---|
| 1598111957 | EMERGEORTHO, PA Organization | Orthopaedic Surgery | 2000 BRABHAM AVE SUITE 100 JACKSONVILLE, NC 28546 (910) 332-3800 |
| 1255327037 | SHIRLEY SMEARMAN CHARETTE PA Individual | Physician Assistant | 2000 BRABHAM AVE JACKSONVILLE, NC 28546 (980) 376-3030 |
| 1629738505 | NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC Organization | Family Medicine | 2000 BRABHAM AVE JACKSONVILLE, NC 28546 (910) 376-3025 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922767243, enumerated in the NPI registry as an "organization" on December 14, 2021
The provider is located at 2000 Brabham Ave Jacksonville, Nc 28546 and the phone number is (910) 376-3025
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider's CLIA number is 34D2297341 for a "physician office" 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 December 14, 2021. 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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