DOUGLAS ALAN WALDREP MD
NPI 1164517751
Psychiatry & Neurology - Child & Adolescent Psychiatry in Wilmington, NC

NPI Status: Active since October 03, 2006

Contact Information

2131 S 17TH ST
WILMINGTON, NC
ZIP 28401
Phone: (910) 667-7000
Fax: (910) 815-5850

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  • Individual
  • Male
  • Psychiatry & Neurology
  • Child & Adolescent Psychiatry
  • PECOS Enrolled

About DOUGLAS WALDREP

This page provides the complete NPI Profile along with additional information for Douglas Waldrep, a provider established in Wilmington, North Carolina with a medical specialization in Psychiatry & Neurology, focusing in child & adolescent psychiatry . The healthcare provider is registered in the NPI registry with number 1164517751 assigned on October 2006. The practitioner's primary taxonomy code is 2084P0804X with license number 2006-01911 (NC). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1164517751
Provider Name
DOUGLAS ALAN WALDREP MD
Gender
Male
Entity Type
Individual
Location Address
2131 S 17TH ST WILMINGTON, NC 28401
Location Phone
(910) 667-7000
Location Fax
(910) 815-5850
Mailing Address
PO BOX 936857 ATLANTA, GA 31193
Is Sole Proprietor?
No
Enumeration Date
10-03-2006
Last Update Date
05-26-2021
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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

Psychiatry & Neurology Child & Adolescent Psychiatry

Taxonomy Code
2084P0804X
Type
Allopathic & Osteopathic Physicians
License No.
2006-01911
License State
NC
Taxonomy Description
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

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)
12084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

2006-01911 (NC)

Medicare Participation & PECOS Enrollment Status

Douglas Waldrep is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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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 1164517751, we treat the final digit (1) 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

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
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
7
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
1
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 5 → 10 → 1 7 → 14 → 5 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 + 1 + 2 + 4 + 1 + 0 + 1 + 1 + 4 + 7 + 1 + 0 + 24 = 49

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

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1164517751.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Surgery
2131 S 17TH ST
WILMINGTON, NC 28401
Surgery
2131 S 17TH ST
WILMINGTON, NC 28401
Obstetrics & Gynecology (Maternal & Fetal Medicine)
2131 S 17TH ST
WILMINGTON, NC 28401
Anesthesiology
2131 S 17TH ST
WILMINGTON, NC 28401
Anesthesiology
2131 S 17TH ST
WILMINGTON, NC 28401
Anesthesiology
2131 S 17TH ST
WILMINGTON, NC 28401
Anesthesiology
2131 S 17TH ST
WILMINGTON, NC 28401
Anesthesiology
2131 S 17TH ST
WILMINGTON, NC 28401
Anesthesiology
2131 S 17TH ST
WILMINGTON, NC 28401
Anesthesiology
2131 S 17TH ST
WILMINGTON, NC 28401
Anesthesiology
2131 S 17TH ST
WILMINGTON, NC 28401
Anesthesiology
2131 S 17TH ST
WILMINGTON, NC 28401
Anesthesiology
2131 S 17TH ST
WILMINGTON, NC 28401
Anesthesiology
2131 S 17TH ST
WILMINGTON, NC 28401
Anesthesiology
2131 S 17TH ST
WILMINGTON, NC 28401
Anesthesiology
2131 S 17TH ST
WILMINGTON, NC 28401
Anesthesiology
2131 S 17TH ST
WILMINGTON, NC 28401
Anesthesiology
2131 S 17TH ST
WILMINGTON, NC 28401
Anesthesiology
2131 S 17TH ST
WILMINGTON, NC 28401
Nurse Anesthetist, Certified Registered
2131 S 17TH ST
WILMINGTON, NC 28401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164517751, enumerated as an "individual" on October 03, 2006.

The provider is located at 2131 S 17TH ST WILMINGTON, NC 28401 and the phone number is (910) 667-7000.

Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.