DR. JAMES EDWARD HINES III M. D.
NPI 1154463305
Clinic/Center - Primary Care in Baton Rouge, LA

NPI Status: Active since February 13, 2007

Contact Information

2149 N FOSTER DR
BATON ROUGE, LA
ZIP 70806
Phone: (225) 356-9775
Fax: (225) 357-7768

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  • Individual
  • Male
  • Clinic/Center
  • Primary Care

About JAMES HINES

This page provides the complete NPI Profile along with additional information for James Hines, a primary care provider established in Baton Rouge, Louisiana with a medical specialization in Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1154463305 assigned on February 2007. The practitioner's primary taxonomy code is 261QP2300X with license number 04639R (LA). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1154463305
Provider Name
DR. JAMES EDWARD HINES III M. D.
Gender
Male
Entity Type
Individual
Location Address
2149 N FOSTER DR BATON ROUGE, LA 70806
Location Phone
(225) 356-9775
Location Fax
(225) 357-7768
Mailing Address
2149 N FOSTER DR BATON ROUGE, LA 70806
Mailing Phone
(225) 356-9775
Mailing Fax
(225) 357-7768
Is Sole Proprietor?
Yes
Enumeration Date
02-13-2007
Last Update Date
04-08-2014
Code Navigator

A primary care provider (PCP) like James Hines 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

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities
License No.
04639R
License State
LA

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.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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
1195502MEDICAID (05)LA 
52429MEDICARE PIN (08)LA 
C67476MEDICARE UPIN (02)LA 

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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 1154463305, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 0 + 4 + 8 + 6 + 6 + 3 + 0 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1154463305.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154463305, enumerated as an "individual" on February 13, 2007.

The provider is located at 2149 N FOSTER DR BATON ROUGE, LA 70806 and the phone number is (225) 356-9775.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

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