WADDELL CENTER FAMILY MEDICINE NPI 1104353226

Family Medicine in Athens, AL

Organization Family Medicine CLIA Number 01D1078823 CLIA Certificate of Waiver

About WADDELL CENTER FAMILY MEDICINE

Waddell Center Family Medicine is a primary care provider established in Athens, Alabama specializing in Family Medicine. The NPI number of Waddell Center Family Medicine is 1104353226 and was assigned on May 2017. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated July 2022. Waddell Center Family Medicine operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is James R Comer (Cfo/coo)

A primary care provider (PCP) like Waddell Center Family Medicine 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

The CLIA number of Waddell Center Family Medicine is 01D1078823 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Waddell Center Family Medicine 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.

NPI

1104353226

Provider NameWADDELL CENTER FAMILY MEDICINE
Provider Location Address902 W WASHINGTON ST ATHENS, AL 35611
Provider Mailing Address902 W WASHINGTON ST ATHENS, AL 35611
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-19-2017
Last Update Date07-21-2022


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
Taxonomy DescriptionFamily 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.

Business Address

WADDELL CENTER FAMILY MEDICINE
902 W WASHINGTON ST
ATHENS, AL
ZIP 35611
Phone: (256) 216-9777
Fax: (256) 216-9776

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Mailing Address

WADDELL CENTER FAMILY MEDICINE
902 W WASHINGTON ST
ATHENS, AL
ZIP 35611
Phone: (256) 216-9777
Fax: (256) 216-9776


Authorized Official

Authorized Official Name JAMES R COMER
Authorized Official TitleCFO/COO
Authorized Official Phone(256) 233-9172

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 the NPI number 1104353226 is:

CLIA Number01D1078823
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

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.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
PENDINGMEDICAID (05)AL

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104353226
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
210465624
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 6 + 5 + 6 + 2 + 4 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1104353226 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548206659DR. JAMES RUSSELL WALKER MD
Individual
Internal Medicine902 W WASHINGTON ST
ATHENS, AL 35611
(256) 233-6311
1003006289WADDELL CENTER FAMILY MEDICINE
Organization
Family Medicine902 W WASHINGTON ST
ATHENS, AL 35611
(256) 216-9777
1073769493 BINOD BISTA MD
Individual
Family Medicine902 W WASHINGTON ST
ATHENS, AL 35611
(256) 216-9777
1215298849 MELISSA C GRAY M.D.
Individual
Family Medicine902 W WASHINGTON ST
ATHENS, AL 35611
(256) 216-9777
1538146055DR. RANDALL L DEARMENT D.O.
Individual
General Practice902 W WASHINGTON ST
ATHENS, AL 35611
(256) 216-9777
1720449796 LINDSEY T SMITH CRNP
Individual
Nurse Practitioner (Family)902 W WASHINGTON ST
ATHENS, AL 35611
(256) 216-9777
1326297987 CHRISTOPHER GEORGE ENOE MD
Individual
Family Medicine902 W WASHINGTON ST
ATHENS, AL 35611
(256) 975-7977
1922509520 JACLYN RAE COLLIE CRNP
Individual
Nurse Practitioner (Family)902 W WASHINGTON ST
ATHENS, AL 35611
(256) 216-9777

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Waddell Center Family Medicine is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.