SOUTH CENTRAL KENTUCKY FOOT & ANKLE CENTER
NPI 1063675866
Podiatrist - Foot & Ankle Surgery in Bowling Green, KY
NPI Status: Active since July 02, 2008
Contact Information
843 FAIRVEW AVENUE
SUITE B5
BOWLING GREEN, KY
ZIP 42101
Phone: (270) 846-1900
Fax: (270) 846-2919
- Organization
- Podiatrist
- Foot & Ankle Surgery
- CLIA Number: 18D2289781
- CLIA Cert. Type: Health Fair
- CLIA Exp. Date: 09-14-2027
About SOUTH CENTRAL KENTUCKY FOOT & ANKLE CENTER
This page provides the complete NPI Profile along with additional information for South Central Kentucky Foot & Ankle Center, a provider established in Bowling Green, Kentucky operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1063675866 assigned on July 2008. The practitioner's primary taxonomy code is 213ES0103X with license number 234 (KY). The provider is registered as an organization and their NPI record was last updated 18 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 Dr. Christopher M Holland Dpm (Owner)
- NPI
- 1063675866
- Provider Name
- SOUTH CENTRAL KENTUCKY FOOT & ANKLE CENTER
- Entity Type
- Organization
- Location Address
- 843 FAIRVEW AVENUE SUITE B5 BOWLING GREEN, KY 42101
- Location Phone
- (270) 846-1900
- Location Fax
- (270) 846-2919
- Mailing Address
- PO BOX 1596 BOWLING GREEN, KY 42102
- Mailing Phone
- (270) 846-1900
- Mailing Fax
- (270) 846-2919
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-02-2008
- Last Update Date
- 11-05-2008
- Code Navigator
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
Podiatrist Foot & Ankle Surgery
- Taxonomy Code
- 213ES0103X
- Type
- Podiatric Medicine & Surgery Service Providers
- License No.
- 234
- License State
- KY
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.
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 |
|---|---|---|---|
| 90013897 | OTHER (01) | KY | KY HEALTH CHOICES- DME |
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
- 18D2289781
- Facility Type
- Health Fair
- Certificate Effective Date
- September 15, 2025
- Certificate Expiration Date
- September 14, 2027
- Laboratory Director
- MS. NATALIE L. BRYANT
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to South Central Kentucky Foot & Ankle Center 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 1063675866, 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 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.
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 54 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063675866, enumerated as an "organization" on July 02, 2008.
The provider is located at 843 FAIRVEW AVENUE SUITE B5 BOWLING GREEN, KY 42101 and the phone number is (270) 846-1900.
Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
