INDIAN TRAIL FAMILY MEDICINE
NPI 1043386766
Family Medicine in Indian Trail, NC

NPI Status: Active since November 27, 2006

Contact Information

4503 OLD MONROE RD
INDIAN TRAIL, NC
ZIP 28079
Phone: (704) 821-6900
Fax: (704) 821-6911

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  • Organization
  • Family Medicine
  • Accepts Insurance

About INDIAN TRAIL FAMILY MEDICINE

This page provides the complete NPI Profile along with additional information for Indian Trail Family Medicine, a primary care provider established in Indian Trail, North Carolina operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1043386766 assigned on November 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 15 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 provider's is doing business as Indian Trail Family Medicine. The authorized official of this NPI record is Mr. Daniel L Wiens (Senior Vice President)

NPI
1043386766
Provider Legal Name
UNION PHYSICIANS NETWORK INC
Other Organization Name
INDIAN TRAIL FAMILY MEDICINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4503 OLD MONROE RD INDIAN TRAIL, NC 28079
Location Phone
(704) 821-6900
Location Fax
(704) 821-6911
Mailing Address
P O BOX 601895 CHARLOTTE, NC 28260
Mailing Phone
(704) 821-6900
Mailing Fax
(704) 821-6911
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-27-2006
Last Update Date
08-19-2011
Code Navigator

A primary care provider (PCP) like Indian Trail Family Medicine sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Direction Bronze 1 - POS
  • Blue Direction Silver 1 - POS
  • Blue Direction Silver 1 + Adult Vision - POS
  • Blue Direction Silver 2 - POS
  • Blue Direction Standard Expanded Bronze - POS
  • Blue Direction Standard Gold - POS
  • Blue Direction Standard Silver - POS
  • Blue VirtuConnect Bronze 1 - EPO
  • Blue VirtuConnect Gold 1 - EPO
  • Blue VirtuConnect Silver 1 - EPO
  • BlueEssentials Bronze 4 - EPO
  • BlueEssentials Bronze 6 - EPO
  • BlueEssentials Gold 1 - EPO
  • BlueEssentials Gold 5 - EPO
  • BlueEssentials Silver 14 - EPO
  • BlueEssentials Silver 14 + Adult Vision - EPO
  • BlueEssentials Silver 40 - EPO
  • BlueEssentials Standard Expanded Bronze - EPO
  • BlueEssentials Standard Gold - EPO
  • BlueEssentials Standard Silver - EPO
  • InHealth Basic 1 - HMO
  • InHealth Basic 1 + Adult Vision - HMO
  • InHealth Basic 2 - HMO
  • InHealth Basic Plus Standard - HMO
  • InHealth Basic Standard - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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. DANIEL L WIENS

Authorized Official Title
SENIOR VICE PRESIDENT
Authorized Official Phone
(704) 355-0648

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2332468FMEDICARE ID-TYPE UNSPECIFIED (04)NC 
5701240003MEDICARE NSC (07)NC 
5905819MEDICAID (05)NC 
NPB207MEDICAID (05)SC 

Reviews for INDIAN TRAIL FAMILY MEDICINE

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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 1043386766, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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
4
Doubled → 8
Pos 4
3
Unchanged
Pos 5
3
Doubled → 6
Pos 6
8
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
7
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
6
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 4 → 8 3 → 6 6 → 12 → 3 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 8 + 3 + 6 + 8 + 1 + 2 + 7 + 1 + 2 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1043386766.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Family Medicine
4503 OLD MONROE RD
INDIAN TRAIL, NC 28079
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4503 OLD MONROE RD, SUITE A
INDIAN TRAIL, NC 28079
Family Medicine
4503 OLD MONROE RD
INDIAN TRAIL, NC 28079
Physician Assistant
4503 OLD MONROE RD
INDIAN TRAIL, NC 28079
Nurse Practitioner (Family)
4503 OLD MONROE RD
INDIAN TRAIL, NC 28079
Nurse Practitioner (Family)
4503 OLD MONROE RD
INDIAN TRAIL, NC 28079
Nurse Practitioner
4503 OLD MONROE RD
INDIAN TRAIL, NC 28079
Family Medicine
4503 OLD MONROE RD
INDIAN TRAIL, NC 28079
Physician Assistant
4503 OLD MONROE RD
INDIAN TRAIL, NC 28079
Nurse Practitioner (Family)
4503 OLD MONROE RD
INDIAN TRAIL, NC 28079

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043386766, enumerated as an "organization" on November 27, 2006.

The provider is located at 4503 OLD MONROE RD INDIAN TRAIL, NC 28079 and the phone number is (704) 821-6900.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: BlueCross BlueShield of South Carolina, InStil. Please consult your insurance carrier or call the provider to verify.