JACKSON FOOT AND ANKLE CLINIC
NPI 1164722807
Durable Medical Equipment & Medical Supplies in Jackson, KY

NPI Status: Active since October 28, 2010

Contact Information

424 JETT DR
JACKSON, KY
ZIP 41339
Phone: (606) 666-5354
Fax: (606) 666-4857

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About JACKSON FOOT AND ANKLE CLINIC

This page provides the complete NPI Profile along with additional information for Jackson Foot And Ankle Clinic, a provider established in Jackson, Kentucky operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1164722807 assigned on October 2010. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. Jackson Foot And Ankle Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Jackson Foot And Ankle Clinic. The authorized official of this NPI record is Debbie Brewer (Director)

NPI
1164722807
Provider Legal Name
JACKSON PHYSICIAN CORP
Other Organization Name
JACKSON FOOT AND ANKLE CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
424 JETT DR JACKSON, KY 41339
Location Phone
(606) 666-5354
Location Fax
(606) 666-4857
Mailing Address
424 JETT DR JACKSON, KY 41339
Mailing Phone
(606) 666-5354
Mailing Fax
(606) 666-4857
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-28-2010
Last Update Date
05-17-2012
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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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
License State
TN
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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)
1363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

(KY)

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.

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

DEBBIE BREWER

Authorized Official Title
DIRECTOR
Authorized Official Phone
(877) 892-9813

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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 1164722807, 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 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
7
Doubled → 14 → 1 + 4
Pos 6
2
Unchanged
Pos 7
2
Doubled → 4
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
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 7 → 14 → 5 2 → 4 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 + 2 + 4 + 1 + 4 + 2 + 4 + 8 + 0 + 24 = 53

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

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1164722807.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Family Medicine
424 JETT DR
JACKSON, KY 41339
Clinic/Center (Rural Health)
424 JETT DR
JACKSON, KY 41339
Pediatrics (Adolescent Medicine)
424 JETT DR
JACKSON, KY 41339
Nurse Practitioner (Family)
424 JETT DR
JACKSON, KY 41339
Clinic/Center (Rural Health)
424 JETT DR
JACKSON, KY 41339
General Practice
424 JETT DR
JACKSON, KY 41339

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164722807, enumerated as an "organization" on October 28, 2010.

The provider is located at 424 JETT DR JACKSON, KY 41339 and the phone number is (606) 666-5354.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.