METHODIST UNIVERSITY
NPI 1962809269
Physician Assistant - Medical in Fayetteville, NC
NPI Status: Active since December 02, 2014
Contact Information
5400 RAMSEY ST
FAYETTEVILLE, NC
ZIP 28311
Phone: (910) 630-7164
Fax: (910) 630-7544
- Organization
- Physician Assistant
- Medical
- CLIA Number: 34D2161718
- CLIA Cert. Type: School/Student Health Service
- CLIA Exp. Date: 02-07-2027
About METHODIST UNIVERSITY
This page provides the complete NPI Profile along with additional information for Methodist University, a primary care provider established in Fayetteville, North Carolina operating as a Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1962809269 assigned on December 2014. The practitioner's primary taxonomy code is 363AM0700X with license number 103047 (NC). The provider is registered as an organization and their NPI record was last updated 11 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. Ben Hancock (President)
- NPI
- 1962809269
- Provider Name
- METHODIST UNIVERSITY
- Entity Type
- Organization
- Location Address
- 5400 RAMSEY ST FAYETTEVILLE, NC 28311
- Location Phone
- (910) 630-7164
- Location Fax
- (910) 630-7544
- Mailing Address
- 5400 RAMSEY ST FAYETTEVILLE, NC 28311
- Mailing Phone
- (910) 630-7164
- Mailing Fax
- (910) 630-7544
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-02-2014
- Last Update Date
- 12-02-2014
- Code Navigator
A primary care provider (PCP) like Methodist University 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
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 103047
- License State
- NC
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
- 34D2161718
- Facility Type
- School/Student Health Service
- Certificate Effective Date
- February 08, 2025
- Certificate Expiration Date
- February 07, 2027
- Laboratory Director
- LYNETTA ALLEN-GEDDIE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Methodist University 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 METHODIST UNIVERSITY
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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 | 6 | 2 | 8 | 0 | 9 | 2 | 6 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 12 | 2 | 16 | 0 | 18 | 2 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 2 + 2 + 1 + 6 + 0 + 1 + 8 + 2 + 1 + 2 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1962809269 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1093774820 | MR. HUGH WHITMAN HARLING III EDD, LAT, ATC Individual | Specialist/Technologist (Athletic Trainer) | 5400 RAMSEY ST FAYETTEVILLE, NC 28311 (910) 630-7418 |
| 1932169851 | SUSAN ELIZABETH MINIELLO ATC Individual | Specialist/Technologist (Athletic Trainer) | 5400 RAMSEY ST FAYETTEVILLE, NC 28311 (910) 630-7597 |
| 1689634040 | MISS JENNIFER RENAI HOENIG A.T.C Individual | Specialist/Technologist (Athletic Trainer) | 5400 RAMSEY ST FAYETTEVILLE, NC 28311 (910) 630-7596 |
| 1376778175 | RACHELLE BOWMAN LAT, ATC Individual | Specialist/Technologist (Athletic Trainer) | 5400 RAMSEY ST FAYETTEVILLE, NC 28311 (910) 630-7597 |
| 1972955698 | NICHOLAS CHARLES MARTENS Individual | Student in an Organized Health Care Education/Training Program | 5400 RAMSEY ST FAYETTEVILLE, NC 28311 (910) 630-7143 |
| 1033656129 | EMILY ZAMORA MS, LAT, ATC Individual | Specialist/Technologist (Athletic Trainer) | 5400 RAMSEY ST FAYETTEVILLE, NC 28311 (910) 480-8598 |
| 1134656879 | HEATHER O'QUINN REGAN LPC Individual | Counselor (Mental Health) | 5400 RAMSEY ST PEARCE HALL FAYETTEVILLE, NC 28311 (910) 630-7150 |
| 1841784170 | MR. JORDAN DREW BETTLEYON MS, LAT, ATC, EP-C Individual | Physical Medicine & Rehabilitation (Sports Medicine) | 5400 RAMSEY ST FAYETTEVILLE, NC 28311 (910) 630-7000 |
| 1447529797 | DR. JOEL D. SATTGAST PT, DPT Individual | Physical Therapist (Orthopedic) | 5400 RAMSEY ST FAYETTEVILLE, NC 28311 (402) 618-5700 |
| 1245732379 | ELIZABETH M WARREN LCMHC, LCASA, NCC Individual | Counselor (Mental Health) | 5400 RAMSEY ST FAYETTEVILLE, NC 28311 (910) 630-7150 |
| 1942736970 | MR. ALLEN JETER MA, LAT, ATC Individual | Specialist/Technologist (Athletic Trainer) | 5400 RAMSEY ST FAYETTEVILLE, NC 28311 (910) 630-7596 |
| 1417581604 | ERIN BROOKE EARHART ATC Individual | Specialist/Technologist (Athletic Trainer) | 5400 RAMSEY ST FAYETTEVILLE, NC 28311 (540) 383-1162 |
| 1528824422 | DESIRAE ROWELL Individual | Physician Assistant | 5400 RAMSEY ST FAYETTEVILLE, NC 28311 (910) 630-7000 |
| 1730666850 | AMANDA NYSTROM LAT, ATC Individual | Specialist/Technologist (Athletic Trainer) | 5400 RAMSEY ST FAYETTEVILLE, NC 28311 (910) 630-7000 |
| 1659099240 | TONETTA EVERETT MSW, LCSW, LCAS Individual | Social Worker (Clinical) | 5400 RAMSEY ST FAYETTEVILLE, NC 28311 (910) 705-8060 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962809269, enumerated in the NPI registry as an "organization" on December 02, 2014
The provider is located at 5400 Ramsey St Fayetteville, Nc 28311 and the phone number is (910) 630-7164
This medical organization specializes in Physician Assistant with taxonomy code 363AM0700X with a focus in Medical
The provider's CLIA number is 34D2161718 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 December 02, 2014. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.