SUPERIORCARE MEDICAL GROUP LLC
NPI 1124802178
Nurse Practitioner - Family in Cordova, TN
NPI Status: Active since August 22, 2023
Contact Information
1175 VICKERY LN STE 101
CORDOVA, TN
ZIP 38016
Phone: (662) 408-6995
NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.
Record update history: Dec 11, 2024, May 7, 2024, Apr 22, 2024 and 2 more (5 updates tracked since 2023).
- Organization
- Nurse Practitioner
- Family
About SUPERIORCARE MEDICAL GROUP LLC
This page provides the complete NPI Profile along with additional information for Superiorcare Medical Group Llc, a provider established in Cordova, Tennessee operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1124802178 assigned on August 2023. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Superiorcare Medical Group Llc 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 Donna Luckett Fnp (Member)
- NPI
- 1124802178
- Provider Name
- SUPERIORCARE MEDICAL GROUP LLC
- Entity Type
- Organization
- Location Address
- 1175 VICKERY LN STE 101 CORDOVA, TN 38016
- Location Phone
- (662) 408-6995
- Mailing Address
- 3750 HACKS CROSS RD # 102-202 MEMPHIS, TN 38125
- Mailing Phone
- (662) 408-6995
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-22-2023
- Last Update Date
- 12-11-2024
- Code Navigator
A nurse practitioner (NP) like Superiorcare Medical Group Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Secondary Locations
- 1223 Main St Ste B
Southaven, MS 38671
(662) 408-6995
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
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
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) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 2 | 363LP2300X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
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.
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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 1124802178, 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
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.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124802178, enumerated as an "organization" on August 22, 2023.
The provider is located at 1175 VICKERY LN STE 101 CORDOVA, TN 38016 and the phone number is (662) 408-6995.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
