DR. JERRY J. ELLER M.D.
NPI 1184606501
Pediatrics in Livingston, AL

NPI Status: Active since November 20, 2005

Contact Information

1221 N WASHINGTON ST
LIVINGSTON, AL
ZIP 35470
Phone: (205) 652-9575
Fax: (205) 652-7979

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  • Individual
  • Male
  • Pediatrics

About JERRY ELLER

This page provides the complete NPI Profile along with additional information for Jerry Eller, a pediatrician established in Livingston, Alabama with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1184606501 assigned on November 2005. The practitioner's primary taxonomy code is 208000000X with license number 00008273 (AL). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1184606501
Provider Name
DR. JERRY J. ELLER M.D.
Gender
Male
Entity Type
Individual
Location Address
1221 N WASHINGTON ST LIVINGSTON, AL 35470
Location Phone
(205) 652-9575
Location Fax
(205) 652-7979
Mailing Address
PO BOX 5166 MERIDIAN, MS 39302
Mailing Phone
(601) 703-9506
Mailing Fax
(205) 652-7979
Is Sole Proprietor?
Yes
Enumeration Date
11-20-2005
Last Update Date
07-08-2007
Code Navigator

A pediatrician like Jerry Eller is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
00008273
License State
AL
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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)

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.

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
51020984OTHER (01)BLUE CROSS OF AL
C76652MEDICARE UPIN (02) 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1184606501
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211641201250
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 6 + 4 + 1 + 2 + 0 + 1 + 2 + 5 + 0 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1184606501 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

LABORATORY CORPORATION OF AMERICA HOLDINGS

Clinical Medical Laboratory

1221 N WASHINGTON ST
LIVINGSTON, AL
ZIP 35470

(205) 652-7680

MRS. JESSICA MOSLEY FNP

Nurse Practitioner

1221 N WASHINGTON ST
LIVINGSTON, AL
ZIP 35470

(205) 652-9575

KEMPER, CAH, INC

Clinic/Center

(Rural Health)

1221 N WASHINGTON ST
LIVINGSTON, AL
ZIP 35470

(205) 652-9575

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184606501, enumerated in the NPI registry as an "individual" on November 20, 2005

The provider is located at 1221 N Washington St Livingston, Al 35470 and the phone number is (205) 652-9575

The provider's speciality is Pediatrics with taxonomy code 208000000X

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 20, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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