DYERSBURG CLINIC CORP
NPI 1093710568
Family Medicine in Dyersburg, TN

NPI Status: Active since June 20, 2005

Contact Information

400 E TICKLE ST
DYERSBURG, TN
ZIP 38024
Phone: (731) 288-7250
Fax: (731) 288-7258

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  • Organization
  • Family Medicine

About DYERSBURG CLINIC CORP

This page provides the complete NPI Profile along with additional information for Dyersburg Clinic Corp, a primary care provider established in Dyersburg, Tennessee operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1093710568 assigned on June 2005. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. Dyersburg Clinic Corp operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Debbie T Brewer (Director)

NPI
1093710568
Provider Name
DYERSBURG CLINIC CORP
Entity Type
Organization
Location Address
400 E TICKLE ST DYERSBURG, TN 38024
Location Phone
(731) 288-7250
Location Fax
(731) 288-7258
Mailing Address
7100 COMMERCE WAY SUITE 180 BRENTWOOD, TN 37027
Mailing Phone
(615) 465-7000
Mailing Fax
(731) 288-7258
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-20-2005
Last Update Date
08-25-2010
Code Navigator

A primary care provider (PCP) like Dyersburg Clinic Corp 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License State
TN
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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)
1207RG0100XAllopathic & Osteopathic Physicians

Internal Medicine
Gastroenterology

 
2207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

 
3208600000XAllopathic & Osteopathic Physicians

Surgery

 
42086S0129XAllopathic & Osteopathic Physicians

Surgery
Vascular Surgery

 
5208800000XAllopathic & 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.

*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

DEBBIE T BREWER

Authorized Official Title
DIRECTOR
Authorized Official Phone
(615) 465-7626

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
4085237OTHER (01)TNBCBS
3718531MEDICARE PIN (08)TN 
3718531MEDICAID (05)TN 

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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 1093710568, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

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
9
Doubled → 18 → 1 + 8
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
5
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
8
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 9 → 18 → 9 7 → 14 → 5 0 → 0 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 8 + 3 + 1 + 4 + 1 + 0 + 5 + 1 + 2 + 24 = 52

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

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1093710568.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
400 E TICKLE ST
DYERSBURG, TN 38024
Radiology (Diagnostic Radiology)
400 E TICKLE ST
DYERSBURG, TN 38024
Nurse Anesthetist, Certified Registered
400 E TICKLE ST
DYERSBURG, TN 38024
Internal Medicine
400 E TICKLE ST
DYERSBURG, TN 38024
Emergency Medicine
400 E TICKLE ST
DYERSBURG, TN 38024
Nurse Practitioner
400 E TICKLE ST
DYERSBURG, TN 38024
Emergency Medicine
400 E TICKLE ST
DYERSBURG, TN 38024
Nurse Practitioner
400 E TICKLE ST
DYERSBURG, TN 38024
Radiology (Diagnostic Radiology)
400 E TICKLE ST
DYERSBURG, TN 38024
Emergency Medicine
400 E TICKLE ST
DYERSBURG, TN 38024
Anesthesiology (Pain Medicine)
400 E TICKLE ST
DYERSBURG, TN 38024
Emergency Medicine
400 E TICKLE ST
DYERSBURG, TN 38024
Nurse Anesthetist, Certified Registered
400 E TICKLE ST
DYERSBURG, TN 38024
Nurse Anesthetist, Certified Registered
400 E TICKLE ST, ATTN: SUSAN STOVER
DYERSBURG, TN 38024
Pharmacist
400 E TICKLE ST
DYERSBURG, TN 38024
Internal Medicine
400 E TICKLE ST
DYERSBURG, TN 38024
Emergency Medicine
400 E TICKLE ST
DYERSBURG, TN 38024
Emergency Medicine
400 E TICKLE ST
DYERSBURG, TN 38024
Nurse Anesthetist, Certified Registered
400 E TICKLE ST
DYERSBURG, TN 38024
Anesthesiology
400 E TICKLE ST
DYERSBURG, TN 38024

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093710568, enumerated as an "organization" on June 20, 2005.

The provider is located at 400 E TICKLE ST DYERSBURG, TN 38024 and the phone number is (731) 288-7250.

Family Medicine with taxonomy code 207Q00000X.

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