CRYSTAL COAST PAIN MANAGEMENT CENTER, PLLC
NPI 1013401561
Anesthesiology - Pain Medicine in Jacksonville, NC
NPI Status: Active since June 19, 2018
Contact Information
57 OFFICE PARK DR
JACKSONVILLE, NC
ZIP 28546
Phone: (252) 636-0300
- Organization
- Anesthesiology
- Pain Medicine
- CLIA Number: 34D2084239
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-21-2026
About CRYSTAL COAST PAIN MANAGEMENT CENTER, PLLC
This page provides the complete NPI Profile along with additional information for Crystal Coast Pain Management Center, Pllc, a provider established in Jacksonville, North Carolina operating as a Anesthesiology, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1013401561 assigned on June 2018. The practitioner's primary taxonomy code is 207LP2900X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Rachel Look (Practice Manager)
- NPI
- 1013401561
- Provider Name
- CRYSTAL COAST PAIN MANAGEMENT CENTER, PLLC
- Entity Type
- Organization
- Location Address
- 57 OFFICE PARK DR JACKSONVILLE, NC 28546
- Location Phone
- (252) 636-0300
- Mailing Address
- 2111 NEUSE BLVD STE J NEW BERN, NC 28560
- Mailing Phone
- (125) 263-6030
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-19-2018
- Last Update Date
- 10-26-2020
- Code Navigator
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
Anesthesiology Pain Medicine
- Taxonomy Code
- 207LP2900X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
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
- 34D2084239
- Facility Type
- Physician Office
- Certificate Effective Date
- September 22, 2024
- Certificate Expiration Date
- September 21, 2026
- Laboratory Director
- KIRK HARUM
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Crystal Coast Pain Management Center, Pllc 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 1013401561, we treat the final digit (1) 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 49 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
JACKSONVILLE, NC 28546
JACKSONVILLE, NC 28546
JACKSONVILLE, NC 28546
JACKSONVILLE, NC 28546
JACKSONVILLE, NC 28546
JACKSONVILLE, NC 28546
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013401561, enumerated as an "organization" on June 19, 2018.
The provider is located at 57 OFFICE PARK DR JACKSONVILLE, NC 28546 and the phone number is (252) 636-0300.
Anesthesiology with taxonomy code 207LP2900X and a focus in Pain Medicine.
