MID CAROLINA CROSSROADS SURGICAL CLINIC
NPI 1083696926
Surgery in Sanford, NC

NPI Status: Active since November 16, 2005

Contact Information

709 WICKER ST
STE B
SANFORD, NC
ZIP 27330
Phone: (919) 774-1277
Fax: (919) 774-1101

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  • Organization
  • Surgery

About MID CAROLINA CROSSROADS SURGICAL CLINIC

This page provides the complete NPI Profile along with additional information for Mid Carolina Crossroads Surgical Clinic, a provider established in Sanford, North Carolina operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1083696926 assigned on November 2005. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. Mid Carolina Crossroads Surgical Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Mid Carolina Crossroads Surgical Clinic. The authorized official of this NPI record is Mr. Michael Kyle Burtnett (Svp Of Outpatient Services, Tenet)

NPI
1083696926
Provider Legal Name
TENET CENTRAL CAROLINA PHYSICIANS INC
Other Organization Name
MID CAROLINA CROSSROADS SURGICAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
709 WICKER ST STE B SANFORD, NC 27330
Location Phone
(919) 774-1277
Location Fax
(919) 774-1101
Mailing Address
PO BOX 741608 ATLANTA, GA 30384
Mailing Phone
(919) 774-1277
Mailing Fax
(919) 774-1101
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-16-2005
Last Update Date
05-26-2016
Code Navigator

A surgeon like Mid Carolina Crossroads Surgical Clinic treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

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

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208800000XAllopathic & Osteopathic Physicians

Urology

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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.

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. MICHAEL KYLE BURTNETT

Authorized Official Title
SVP OF OUTPATIENT SERVICES, TENET
Authorized Official Phone
(469) 893-2153

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
2345356MEDICARE UPIN (02) 
017MYOTHER (01)NCBCBS
DF0988OTHER (01)RAILROAD MEDICARE
5903334MEDICAID (05)NC 

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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 1083696926, 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
8
Doubled → 16 → 1 + 6
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
9
Unchanged
Pos 9
2
Doubled → 4
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 8 → 16 → 7 6 → 12 → 3 6 → 12 → 3 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 6 + 3 + 1 + 2 + 9 + 1 + 2 + 9 + 4 + 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 1083696926.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Urology
709 WICKER ST, SUITE B
SANFORD, NC 27330

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083696926, enumerated as an "organization" on November 16, 2005.

The provider is located at 709 WICKER ST STE B SANFORD, NC 27330 and the phone number is (919) 774-1277.

Surgery with taxonomy code 208600000X.

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