CHILDREN'S ADVOCACY CENTER OF THE BLUE RIDGE
NPI 1033462148
Nurse Practitioner - Family in Boone, NC

NPI Status: Active since October 26, 2012

Contact Information

8076 HWY 105 SOUTH
BOONE, NC
ZIP 28607
Phone: (828) 963-9777

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  • Organization
  • Nurse Practitioner
  • Family
  • CLIA Number: 34D2099398
  • CLIA Cert. Type: Other - CHILDREN'S ADVOCACY CENT
  • CLIA Exp. Date: 09-14-2026

About CHILDREN'S ADVOCACY CENTER OF THE BLUE RIDGE

This page provides the complete NPI Profile along with additional information for Children's Advocacy Center Of The Blue Ridge, a provider established in Boone, North Carolina operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1033462148 assigned on October 2012. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Children's Advocacy Center Of The Blue Ridge operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Children's Advocacy Center Of The Blue Ridge. The authorized official of this NPI record is Mr. William Jernigan (Executive Director)

NPI
1033462148
Provider Legal Name
SOUTHMOUNTAIN CHILDREN AND FAMILY SERVICES
Other Organization Name
CHILDREN'S ADVOCACY CENTER OF THE BLUE RIDGE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
8076 HWY 105 SOUTH BOONE, NC 28607
Location Phone
(828) 963-9777
Mailing Address
PO BOX 3387 MORGANTON, NC 28680
Mailing Phone
(828) 391-2803
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-26-2012
Last Update Date
05-16-2019
Code Navigator

A nurse practitioner (NP) like Children's Advocacy Center Of The Blue Ridge is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

  • 105 Niley Cook Rd
    Blowing Rock, NC 28605
    (828) 584-1105
  • 105 Niley Cook Rd
    Blowing Rock, NC 28605
    (828) 584-1105

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

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1174400000XOther Service Providers

Specialist

 
2207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
3363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 
4363LP0200XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Pediatrics

 

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

MR. WILLIAM JERNIGAN

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(828) 584-1105

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
34D2099398
Facility Type
Other - CHILDREN'S ADVOCACY CENT
Certificate Effective Date
September 15, 2024
Certificate Expiration Date
September 14, 2026
Laboratory Director
ELAINE CABINUM-FOELLER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Children's Advocacy Center Of The Blue Ridge 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 1033462148, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 6 + 3 + 8 + 6 + 4 + 1 + 8 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1033462148.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033462148, enumerated as an "organization" on October 26, 2012.

The provider is located at 8076 HWY 105 SOUTH BOONE, NC 28607 and the phone number is (828) 963-9777.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.