MS. PHYLLIS POLK JOHNSON FNP
NPI 1073531091
Nurse Practitioner - Family in Jackson, MS

NPI Status: Active since July 17, 2006

Contact Information

1500 E WOODROW WILSON AVE
JACKSON, MS
ZIP 39216
Phone: (601) 362-4471
Fax: (601) 368-4479

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  • Individual
  • Female
  • Nurse Practitioner
  • Family

About PHYLLIS JOHNSON

This page provides the complete NPI Profile along with additional information for Phyllis Johnson, a provider established in Jackson, Mississippi with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1073531091 assigned on July 2006. The practitioner's primary taxonomy code is 363LF0000X with license number R574848 (MS). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1073531091
Provider Name
MS. PHYLLIS POLK JOHNSON FNP
Gender
Female
Entity Type
Individual
Location Address
1500 E WOODROW WILSON AVE JACKSON, MS 39216
Location Phone
(601) 362-4471
Location Fax
(601) 368-4479
Mailing Address
1542 FAIRWOOD DR JACKSON, MS 39213
Mailing Phone
(601) 366-2768
Is Sole Proprietor?
No
Enumeration Date
07-17-2006
Last Update Date
07-08-2007
Code Navigator

A nurse practitioner (NP) like Phyllis Johnson 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 Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
R574848
License State
MS

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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 1073531091, we treat the final digit (1) 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

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
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
3
Unchanged
Pos 7
1
Doubled → 2
Pos 8
0
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
1
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 7 → 14 → 5 5 → 10 → 1 1 → 2 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 4 + 3 + 1 + 0 + 3 + 2 + 0 + 1 + 8 + 24 = 49

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

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1073531091.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Pharmacist
1500 E WOODROW WILSON AVE, PHARMACY SERVICE (119)
JACKSON, MS 39216
Pharmacist (Pharmacotherapy)
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Dermatology
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Internal Medicine
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Internal Medicine (Hematology & Oncology)
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Psychiatry & Neurology (Psychiatry)
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Internal Medicine
1500 E WOODROW WILSON AVE, G.V. (SONNY) MONTGOMERY VAMC (111-P)
JACKSON, MS 39216
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1500 E WOODROW WILSON AVE, R&E BUILDING (151) - VAMC
JACKSON, MS 39216
Psychiatry & Neurology (Psychiatry)
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Nurse Practitioner (Primary Care)
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Nurse Practitioner (Family)
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Emergency Medicine
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Psychiatry & Neurology (Neurology)
1500 E WOODROW WILSON AVE, VAMC, 127
JACKSON, MS 39216
Internal Medicine (Pulmonary Disease)
1500 E WOODROW WILSON AVE, 14A
JACKSON, MS 39216
Nurse Practitioner (Family)
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Nurse Practitioner (Family)
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Surgery
1500 E WOODROW WILSON AVE, DEPT OF SURGERY
JACKSON, MS 39216
Pharmacist (Pharmacotherapy)
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Pathology (Anatomic Pathology & Clinical Pathology)
1500 E WOODROW WILSON AVE
JACKSON, MS 39216

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073531091, enumerated as an "individual" on July 17, 2006.

The provider is located at 1500 E WOODROW WILSON AVE JACKSON, MS 39216 and the phone number is (601) 362-4471.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.