SOUTHBRDGE HEALTH AND WELLNESS LLC
NPI 1043089998
Nurse Practitioner - Adult Health in Jacksonville, FL
NPI Status: Active since December 20, 2023
Contact Information
476 RIVERSIDE AVE # 1905
JACKSONVILLE, FL
ZIP 32202
Phone: (904) 800-9220
Fax: (904) 674-1843
- Organization
- Nurse Practitioner
- Adult Health
About SOUTHBRDGE HEALTH AND WELLNESS LLC
This page provides the complete NPI Profile along with additional information for Southbrdge Health And Wellness Llc, a provider established in Jacksonville, Florida operating as a Nurse Practitioner, focusing in adult health . The healthcare provider is registered in the NPI registry with number 1043089998 assigned on December 2023. The practitioner's primary taxonomy code is 363LA2200X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Dora Agyei Agyemang Msn, Aprn, Anp-bc (Owner)
- NPI
- 1043089998
- Provider Name
- SOUTHBRDGE HEALTH AND WELLNESS LLC
- Entity Type
- Organization
- Location Address
- 476 RIVERSIDE AVE # 1905 JACKSONVILLE, FL 32202
- Location Phone
- (904) 800-9220
- Location Fax
- (904) 674-1843
- Mailing Address
- 851 SOUTHBRIDGE BLVD SAVANNAH, GA 31405
- Mailing Phone
- (912) 657-5256
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-20-2023
- Last Update Date
- 12-20-2023
- Code Navigator
A nurse practitioner (NP) like Southbrdge Health And Wellness Llc 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
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 Adult Health
- Taxonomy Code
- 363LA2200X
- 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) |
|---|---|---|---|---|
| 1 | 251B00000X | Agencies | Case Management | |
| 2 | 251E00000X | Agencies | Home Health | |
| 3 | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | |
| 4 | 261QI0500X | Ambulatory Health Care Facilities | Clinic/Center | |
| 5 | 261QR1300X | Ambulatory Health Care Facilities | Clinic/Center |
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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 1043089998, 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 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.
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 72 is 80. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043089998, enumerated as an "organization" on December 20, 2023.
The provider is located at 476 RIVERSIDE AVE # 1905 JACKSONVILLE, FL 32202 and the phone number is (904) 800-9220.
Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.
