PATHWAY HEALTHCARE TENNESSEE LLC
NPI 1003355652
Anesthesiology - Addiction Medicine in Jackson, TN

NPI Status: Active since February 15, 2017

Contact Information

37 SANDSTONE CIR
SUITE 92
JACKSON, TN
ZIP 38305
Phone: (205) 921-5556

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  • Organization
  • Anesthesiology
  • Addiction Medicine
  • CLIA Number: 01D2143018
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-22-2026

About PATHWAY HEALTHCARE TENNESSEE LLC

This page provides the complete NPI Profile along with additional information for Pathway Healthcare Tennessee Llc, a provider established in Jackson, Tennessee operating as a Anesthesiology, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1003355652 assigned on February 2017. The practitioner's primary taxonomy code is 207LA0401X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Pathway Healthcare Tennessee Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Scott Olson (Ceo)

NPI
1003355652
Provider Name
PATHWAY HEALTHCARE TENNESSEE LLC
Entity Type
Organization
Location Address
37 SANDSTONE CIR SUITE 92 JACKSON, TN 38305
Location Phone
(205) 921-5556
Mailing Address
37 SANDSTONE CIR SUITE 92 JACKSON, TN 38305
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-15-2017
Last Update Date
02-15-2017
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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

Anesthesiology Addiction Medicine

Taxonomy Code
207LA0401X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An anesthesiologist who specializes in the diagnosis and treatment of addictions.

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.

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

SCOTT OLSON

Authorized Official Title
CEO
Authorized Official Phone
(214) 522-8292

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
01D2143018
Facility Type
Physician Office
Certificate Effective Date
January 23, 2024
Certificate Expiration Date
January 22, 2026
Laboratory Director
MS. NATALIE MATTHEWS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pathway Healthcare Tennessee 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.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003355652, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
3
Doubled → 6
Pos 6
5
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
6
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 3 → 6 5 → 10 → 1 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 6 + 5 + 1 + 0 + 6 + 1 + 0 + 24 = 48

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1003355652.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Family Medicine
37 SANDSTONE CIR
JACKSON, TN 38305
Home Health
37 SANDSTONE CIR, STE 201
JACKSON, TN 38305
Social Worker
37 SANDSTONE CIR
JACKSON, TN 38305
Pediatrics
37 SANDSTONE CIR
JACKSON, TN 38305
Family Medicine (Addiction Medicine)
37 SANDSTONE CIR, STE 92
JACKSON, TN 38305

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003355652, enumerated as an "organization" on February 15, 2017.

The provider is located at 37 SANDSTONE CIR SUITE 92 JACKSON, TN 38305 and the phone number is (205) 921-5556.

Anesthesiology with taxonomy code 207LA0401X and a focus in Addiction Medicine.