INTERNAL MEDICINE OF PULASKI
NPI 1164654547
Internal Medicine in Pulaski, TN

NPI Status: Active since August 18, 2009

Contact Information

1255 E COLLEGE ST
SUITE 500
PULASKI, TN
ZIP 38478
Phone: (931) 363-7531

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  • Organization
  • Internal Medicine

About INTERNAL MEDICINE OF PULASKI

This page provides the complete NPI Profile along with additional information for Internal Medicine Of Pulaski, an internist established in Pulaski, Tennessee operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1164654547 assigned on August 2009. The practitioner's primary taxonomy code is 207R00000X with license number 45230 (TN). The provider is registered as an organization and their NPI record was last updated 17 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 Internal Medicine Of Pulaski. The authorized official of this NPI record is Michael Clark (Division President)

NPI
1164654547
Provider Legal Name
AMG-HILLSIDE LLC
Other Organization Name
INTERNAL MEDICINE OF PULASKI
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1255 E COLLEGE ST SUITE 500 PULASKI, TN 38478
Location Phone
(931) 363-7531
Mailing Address
PO BOX 1186 PULASKI, TN 38478
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-18-2009
Last Update Date
10-20-2009
Code Navigator

An internist like Internal Medicine Of Pulaski is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
45230
License State
TN
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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.

*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

MICHAEL CLARK

Authorized Official Title
DIVISION PRESIDENT
Authorized Official Phone
(615) 372-8500

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
1514799MEDICAID (05)TN 
3374856MEDICARE PIN (08)TN 

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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 1164654547, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
6
Doubled → 12 → 1 + 2
Pos 6
5
Unchanged
Pos 7
4
Doubled → 8
Pos 8
5
Unchanged
Pos 9
4
Doubled → 8
Check
7
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 6 → 12 → 3 4 → 8 4 → 8

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 + 2 + 5 + 8 + 5 + 8 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1164654547.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
1255 E COLLEGE ST, SUITE 100
PULASKI, TN 38478
Specialist
1255 E COLLEGE ST
PULASKI, TN 38478
Obstetrics & Gynecology
1255 E COLLEGE ST, STE. 100
PULASKI, TN 38478
Obstetrics & Gynecology
1255 E COLLEGE ST, SUITE 100
PULASKI, TN 38478
Surgery
1255 E COLLEGE ST, SUITE 500
PULASKI, TN 38478
Internal Medicine
1255 E COLLEGE ST, SUITE 400
PULASKI, TN 38478
Surgery
1255 E COLLEGE ST, SUITE 500
PULASKI, TN 38478
Family Medicine
1255 E COLLEGE ST, SUITE 100
PULASKI, TN 38478
Internal Medicine
1255 E COLLEGE ST, SUITE 400
PULASKI, TN 38478

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164654547, enumerated as an "organization" on August 18, 2009.

The provider is located at 1255 E COLLEGE ST SUITE 500 PULASKI, TN 38478 and the phone number is (931) 363-7531.

Internal Medicine with taxonomy code 207R00000X.

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