DIGESTIVE HEALTH SPECIALISTS, PA
NPI 1073745485
Internal Medicine - Gastroenterology in Advance, NC

NPI Status: Active since August 18, 2009

Contact Information

112 KINDERTON BLVD
ADVANCE, NC
ZIP 27006
Phone: (336) 768-6211
Fax: (336) 768-6869

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  • Organization
  • Internal Medicine
  • Gastroenterology
  • CLIA Number: 34D1078103
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-30-2027

About DIGESTIVE HEALTH SPECIALISTS, PA

This page provides the complete NPI Profile along with additional information for Digestive Health Specialists, Pa, an internist established in Advance, North Carolina operating as a Internal Medicine, focusing in gastroenterology . The healthcare provider is registered in the NPI registry with number 1073745485 assigned on August 2009. The practitioner's primary taxonomy code is 207RG0100X. The provider is registered as an organization and their NPI record was last updated 9 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 Mrs. Jacquelyn Tillinger Mha (Ceo)

NPI
1073745485
Provider Name
DIGESTIVE HEALTH SPECIALISTS, PA
Entity Type
Organization
Location Address
112 KINDERTON BLVD ADVANCE, NC 27006
Location Phone
(336) 768-6211
Location Fax
(336) 768-6869
Mailing Address
2025 FRONTIS PLAZA BLVD SUITE 200 WINSTON SALEM, NC 27103
Mailing Phone
(336) 768-6211
Mailing Fax
(336) 768-6869
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-18-2009
Last Update Date
04-04-2017
Code Navigator

An internist like Digestive Health Specialists, Pa is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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

Internal Medicine Gastroenterology

Taxonomy Code
207RG0100X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

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.

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

MRS. JACQUELYN TILLINGER MHA

Authorized Official Title
CEO
Authorized Official Phone
(336) 768-6211

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
34D1078103
Facility Type
Physician Office
Certificate Effective Date
December 31, 2025
Certificate Expiration Date
December 30, 2027
Laboratory Director
DAVID B. RAMSAY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Digestive Health Specialists, Pa 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 1073745485, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
5
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 7 → 14 → 5 5 → 10 → 1 8 → 16 → 7

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 + 4 + 4 + 1 + 0 + 4 + 1 + 6 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1073745485.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Internal Medicine
112 KINDERTON BLVD, SUITE 110
ADVANCE, NC 27006
Clinic/Center (Ambulatory Surgical)
112 KINDERTON BLVD
ADVANCE, NC 27006

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073745485, enumerated as an "organization" on August 18, 2009.

The provider is located at 112 KINDERTON BLVD ADVANCE, NC 27006 and the phone number is (336) 768-6211.

Internal Medicine with taxonomy code 207RG0100X and a focus in Gastroenterology.