PREMIER CARE MEDICAL
NPI 1164069084
Clinic/Center - Urgent Care in Kodak, TN

NPI Status: Active since December 10, 2019

Contact Information

3609 OUTDOOR SPORTSMAN PL STE 7
KODAK, TN
ZIP 37764
Phone: (865) 210-3452

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  • Organization
  • Clinic/Center
  • Urgent Care

About PREMIER CARE MEDICAL

This page provides the complete NPI Profile along with additional information for Premier Care Medical, a provider established in Kodak, Tennessee operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1164069084 assigned on December 2019. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. Ian P Clarke (Owner)

NPI
1164069084
Provider Name
PREMIER CARE MEDICAL
Entity Type
Organization
Location Address
3609 OUTDOOR SPORTSMAN PL STE 7 KODAK, TN 37764
Location Phone
(865) 210-3452
Mailing Address
3609 OUTDOOR SPORTSMAN PL STE 7 KODAK, TN 37764
Mailing Phone
(865) 210-3452
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-10-2019
Last Update Date
12-10-2019
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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

Clinic/Center Urgent Care

Taxonomy Code
261QU0200X
Type
Ambulatory Health Care Facilities

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. IAN P CLARKE

Authorized Official Title
OWNER
Authorized Official Phone
(865) 281-5922

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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 1164069084, 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
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
0
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
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 6 → 12 → 3 0 → 0 9 → 18 → 9 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 2 + 4 + 0 + 6 + 1 + 8 + 0 + 1 + 6 + 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 1164069084.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Clinic/Center (Pain)
3609 OUTDOOR SPORTSMAN PL STE 7
KODAK, TN 37764
Durable Medical Equipment & Medical Supplies
3609 OUTDOOR SPORTSMAN PL STE 7
KODAK, TN 37764
Physician Assistant
3609 OUTDOOR SPORTSMAN PL STE 7
KODAK, TN 37764

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164069084, enumerated as an "organization" on December 10, 2019.

The provider is located at 3609 OUTDOOR SPORTSMAN PL STE 7 KODAK, TN 37764 and the phone number is (865) 210-3452.

Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.