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 Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 4 | 3 | 0 | 8 | 9 | 9 | 9 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 8 | 3 | 0 | 8 | 18 | 9 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 8 + 3 + 0 + 8 + 1 + 8 + 9 + 1 + 8 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1043089998 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
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.
