SONNY MONTGOMERY V A M EDICAL CENTER
NPI 1013014695
Chronic Disease Hospital in Jackson, MS

NPI Status: Active since September 17, 2006

Contact Information

1500 E WOODROW WILSON AVE
JACKSON, MS
ZIP 39216
Phone: (601) 362-4471

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  • Organization
  • Chronic Disease Hospital

About SONNY MONTGOMERY V A M EDICAL CENTER

This page provides the complete NPI Profile along with additional information for Sonny Montgomery V A M Edical Center, a provider established in Jackson, Mississippi operating as a Chronic Disease Hospital. The healthcare provider is registered in the NPI registry with number 1013014695 assigned on September 2006. The practitioner's primary taxonomy code is 281P00000X with license number R725005 (MS). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mrs. Linda Ruth Mack Msn Nursing (Certified Nurse Practitioner)

NPI
1013014695
Provider Name
SONNY MONTGOMERY V A M EDICAL CENTER
Entity Type
Organization
Location Address
1500 E WOODROW WILSON AVE JACKSON, MS 39216
Location Phone
(601) 362-4471
Mailing Address
1973 HOUSTON RD BOLTON, MS 39041
Mailing Phone
(601) 866-2429
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-17-2006
Last Update Date
08-22-2020
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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

Chronic Disease Hospital

Taxonomy Code
281P00000X
Type
Hospitals
License No.
R725005
License State
MS
Taxonomy Description
(1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes.

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

MRS. LINDA RUTH MACK MSN NURSING

Authorized Official Title
CERTIFIED NURSE PRACTITIONER
Authorized Official Phone
(601) 362-4471

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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 1013014695, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
1
Doubled → 2
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
1
Unchanged
Pos 7
4
Doubled → 8
Pos 8
6
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
5
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 1 → 2 0 → 0 4 → 8 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 2 + 3 + 0 + 1 + 8 + 6 + 1 + 8 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1013014695.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Pharmacist
1500 E WOODROW WILSON AVE, PHARMACY SERVICE (119)
JACKSON, MS 39216
Pharmacist (Pharmacotherapy)
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Dermatology
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Internal Medicine
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Internal Medicine (Hematology & Oncology)
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Psychiatry & Neurology (Psychiatry)
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Internal Medicine
1500 E WOODROW WILSON AVE, G.V. (SONNY) MONTGOMERY VAMC (111-P)
JACKSON, MS 39216
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1500 E WOODROW WILSON AVE, R&E BUILDING (151) - VAMC
JACKSON, MS 39216
Psychiatry & Neurology (Psychiatry)
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Nurse Practitioner (Primary Care)
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Nurse Practitioner (Family)
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Emergency Medicine
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Psychiatry & Neurology (Neurology)
1500 E WOODROW WILSON AVE, VAMC, 127
JACKSON, MS 39216
Internal Medicine (Pulmonary Disease)
1500 E WOODROW WILSON AVE, 14A
JACKSON, MS 39216
Nurse Practitioner (Family)
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Nurse Practitioner (Family)
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Surgery
1500 E WOODROW WILSON AVE, DEPT OF SURGERY
JACKSON, MS 39216
Pharmacist (Pharmacotherapy)
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Pathology (Anatomic Pathology & Clinical Pathology)
1500 E WOODROW WILSON AVE
JACKSON, MS 39216

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013014695, enumerated as an "organization" on September 17, 2006.

The provider is located at 1500 E WOODROW WILSON AVE JACKSON, MS 39216 and the phone number is (601) 362-4471.

Chronic Disease Hospital with taxonomy code 281P00000X.