HERITAGE FAMILY MEDICINE
NPI 1114141744
Family Medicine in Madison, AL

NPI Status: Active since April 13, 2007

Contact Information

12205 COUNTY LINE RD
SUITE B
MADISON, AL
ZIP 35758
Phone: (256) 990-8446
Fax: (256) 461-0393

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  • Organization
  • Family Medicine

About HERITAGE FAMILY MEDICINE

This page provides the complete NPI Profile along with additional information for Heritage Family Medicine, a primary care provider established in Madison, Alabama operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1114141744 assigned on April 2007. The practitioner's primary taxonomy code is 207Q00000X with license number 00015990 (AL). The provider is registered as an organization and their NPI record was last updated 8 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 provider's is doing business as Heritage Family Medicine. The authorized official of this NPI record is Mr. Anthony G Mancuso (Cfo)

NPI
1114141744
Provider Legal Name
DAWN B MANCUSO, MD, LLC
Other Organization Name
HERITAGE FAMILY MEDICINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
12205 COUNTY LINE RD SUITE B MADISON, AL 35758
Location Phone
(256) 990-8446
Location Fax
(256) 461-0393
Mailing Address
PO BOX 617 MADISON, AL 35758
Mailing Phone
(256) 990-8446
Mailing Fax
(256) 461-0393
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-13-2007
Last Update Date
12-07-2018
Code Navigator

A primary care provider (PCP) like Heritage 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 .

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 No.
00015990
License State
AL
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.

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.

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

MR. ANTHONY G MANCUSO

Authorized Official Title
CFO
Authorized Official Phone
(256) 990-8446

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
529910550MEDICAID (05)AL 
051506404OTHER (01)ALMANCUSO BCBS

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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 1114141744, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
4
Unchanged
Pos 7
1
Doubled → 2
Pos 8
7
Unchanged
Pos 9
4
Doubled → 8
Check
4
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 1 → 2 1 → 2 1 → 2 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 2 + 4 + 2 + 4 + 2 + 7 + 8 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1114141744.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Chiropractor
12205 COUNTY LINE RD, SUITE D
MADISON, AL 35758
Chiropractor
12205 COUNTY LINE RD, SUITE D
MADISON, AL 35758
Family Medicine
12205 COUNTY LINE RD, SUITE B
MADISON, AL 35758
Family Medicine
12205 COUNTY LINE RD, SUITE B
MADISON, AL 35758
Chiropractor
12205 COUNTY LINE RD, SUITE D
MADISON, AL 35758
Dentist (General Practice)
12205 COUNTY LINE RD, SUITE A
MADISON, AL 35758
Clinic/Center (Dental)
12205 COUNTY LINE RD, SUITE A
MADISON, AL 35758
Clinical Medical Laboratory
12205 COUNTY LINE RD, STE C
MADISON, AL 35758
Nurse Practitioner (Family)
12205 COUNTY LINE RD, SUITE B
MADISON, AL 35758
Dentist (General Practice)
12205 COUNTY LINE RD, SUITE A
MADISON, AL 35758
Chiropractor
12205 COUNTY LINE RD, D
MADISON, AL 35758
Nurse Practitioner (Adult Health)
12205 COUNTY LINE RD, SUITE B
MADISON, AL 35758
Chiropractor
12205 COUNTY LINE RD, SUITE D
MADISON, AL 35758
Family Medicine
12205 COUNTY LINE RD
MADISON, AL 35758
Nurse Practitioner (Family)
12205 COUNTY LINE RD, SUITE B
MADISON, AL 35758
Chiropractor
12205 COUNTY LINE RD, SUITE D
MADISON, AL 35758
Massage Therapist
12205 COUNTY LINE RD, SUITE D
MADISON, AL 35758
Chiropractor
12205 COUNTY LINE RD
MADISON, AL 35758
Nurse Practitioner (Family)
12205 COUNTY LINE RD
MADISON, AL 35758

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114141744, enumerated as an "organization" on April 13, 2007.

The provider is located at 12205 COUNTY LINE RD SUITE B MADISON, AL 35758 and the phone number is (256) 990-8446.

Family Medicine with taxonomy code 207Q00000X.

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