AMY BANNERMAN PHLEBOTOMIST
NPI 1104771450
Specialist/Technologist, Pathology in Wallace, NC

NPI Status: Active since March 02, 2026

Contact Information

133 GLENDALE VILLAGE LN
WALLACE, NC
ZIP 28466
Phone: (910) 787-6633

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  • Individual
  • Female
  • Specialist/Technologist, Pathology

About AMY BANNERMAN

This page provides the complete NPI Profile along with additional information for Amy Bannerman, a provider established in Wallace, North Carolina with a medical specialization in Specialist/technologist, Pathology. The healthcare provider is registered in the NPI registry with number 1104771450 assigned on March 2026. The practitioner's primary taxonomy code is 246Q00000X with license number Y2G5T7L7 (NC). The provider is registered as an individual and her NPI record was last updated March 2026.

NPI
1104771450
Provider Name
AMY BANNERMAN PHLEBOTOMIST
Gender
Female
Entity Type
Individual
Location Address
133 GLENDALE VILLAGE LN WALLACE, NC 28466
Location Phone
(910) 787-6633
Mailing Address
133 GLENDALE VILLAGE LN WALLACE, NC 28466
Mailing Phone
(910) 787-6633
Is Sole Proprietor?
Yes
Enumeration Date
03-02-2026
Last Update Date
03-02-2026
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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

Specialist/Technologist, Pathology

Taxonomy Code
246Q00000X
Type
Technologists, Technicians & Other Technical Service Providers
License No.
Y2G5T7L7
License State
NC
Taxonomy Description
(1) An individual educated and trained in clinical chemistry, microbiology or other biological sciences; and in gathering data on the blood, tissues, and fluids in the human body. Tests and procedures performed or supervised center on major areas of hematology, microbiology, immunohematology, immunology, clinical chemistry and urinalysis. Education and certification requires the equivalent of an associate degree and alternative combinations of accredited training and experience. (2) A specially trained individual who works under the direction of a pathologist, other physician, or scientist, and performs specialized chemical, microscopic, and bacteriological tests of human blood, tissue, and fluids. Also known as medical technologists, they perform and supervise tests and procedures in clinical chemistry, immunology, serology, bacteriology, hematology, parasitology, mycology, urinalysis, and blood banking. The work requires the correlation of test results with other data, interpretation of test findings, and exercise of independent judgment. The minimum educational requirement (for one of several certification programs in medical technology) is a baccalaureate degree with appropriate science course requirements, plus a twelve-month, structured, AMA approved medical technology program and an examination; or a baccalaureate degree with appropriate science course requirements and experience.

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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 1104771450, we treat the final digit (0) 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

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

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 1 + 4 + 7 + 2 + 4 + 1 + 0 + 24 = 50

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

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

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1104771450.

Other Providers at the Same Location


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

Behavior Technician
133 GLENDALE VILLAGE LN
WALLACE, NC 28466

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104771450, enumerated as an "individual" on March 02, 2026.

The provider is located at 133 GLENDALE VILLAGE LN WALLACE, NC 28466 and the phone number is (910) 787-6633.

Specialist/Technologist, Pathology with taxonomy code 246Q00000X.