WEST FORSYTH PAIN MANAGEMENT
NPI 1053692079
Physician Assistant - Medical in Clemmons, NC

NPI Status: Active since September 03, 2011

Contact Information

2554 LEWISVILLE CLEMMONS RD
SUITE 211
CLEMMONS, NC
ZIP 27012
Phone: (336) 740-9444
Fax: (336) 740-9445

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  • Organization
  • Physician Assistant
  • Medical

About WEST FORSYTH PAIN MANAGEMENT

This page provides the complete NPI Profile along with additional information for West Forsyth Pain Management, a primary care provider established in Clemmons, North Carolina operating as a Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1053692079 assigned on September 2011. The practitioner's primary taxonomy code is 363AM0700X with license number 101887 (NC). 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 authorized official of this NPI record is Amanda Anne Zimmerman Pa-c (Physician Assistant)

NPI
1053692079
Provider Name
WEST FORSYTH PAIN MANAGEMENT
Entity Type
Organization
Location Address
2554 LEWISVILLE CLEMMONS RD SUITE 211 CLEMMONS, NC 27012
Location Phone
(336) 740-9444
Location Fax
(336) 740-9445
Mailing Address
2554 LEWISVILLE CLEMMONS RD SUITE 211 CLEMMONS, NC 27012
Mailing Phone
(336) 740-9444
Mailing Fax
(336) 740-9445
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-03-2011
Last Update Date
09-03-2011
Code Navigator

A primary care provider (PCP) like West Forsyth Pain Management 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

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
101887
License State
NC

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:

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

AMANDA ANNE ZIMMERMAN PA-C

Authorized Official Title
PHYSICIAN ASSISTANT
Authorized Official Phone
(336) 740-9444

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
S21055MEDICARE UPIN (02) 

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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 1053692079, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

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
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
2
Doubled → 4
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
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 5 → 10 → 1 6 → 12 → 3 2 → 4 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 0 + 3 + 1 + 2 + 9 + 4 + 0 + 1 + 4 + 24 = 51

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

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1053692079.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Dentist (General Practice)
2554 LEWISVILLE CLEMMONS RD
CLEMMONS, NC 27012
Dentist (General Practice)
2554 LEWISVILLE CLEMMONS RD
CLEMMONS, NC 27012
Psychiatry & Neurology (Psychiatry)
2554 LEWISVILLE CLEMMONS RD, SUITE 310
CLEMMONS, NC 27012
Radiology (Diagnostic Ultrasound)
2554 LEWISVILLE CLEMMONS RD, SUITE 201 BOX 11
CLEMMONS, NC 27012
In Home Supportive Care
2554 LEWISVILLE CLEMMONS RD, STE 306-G
CLEMMONS, NC 27012
Dentist (General Practice)
2554 LEWISVILLE CLEMMONS RD, SUITE 4
CLEMMONS, NC 27012
Family Medicine
2554 LEWISVILLE CLEMMONS RD, SUITE 109
CLEMMONS, NC 27012
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
2554 LEWISVILLE CLEMMONS RD, SUITE 201 BOX 11
CLEMMONS, NC 27012
Physical Therapist
2554 LEWISVILLE CLEMMONS RD
CLEMMONS, NC 27012
Clinic/Center (Dental)
2554 LEWISVILLE CLEMMONS RD
CLEMMONS, NC 27012
Physical Medicine & Rehabilitation
2554 LEWISVILLE CLEMMONS RD
CLEMMONS, NC 27012
Nurse Practitioner (Family)
2554 LEWISVILLE CLEMMONS RD
CLEMMONS, NC 27012
Dentist (General Practice)
2554 LEWISVILLE CLEMMONS RD, SUITE 104
CLEMMONS, NC 27012

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053692079, enumerated as an "organization" on September 03, 2011.

The provider is located at 2554 LEWISVILLE CLEMMONS RD SUITE 211 CLEMMONS, NC 27012 and the phone number is (336) 740-9444.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.