FAMILY CHRISTIAN CARE CENTER, LLC
NPI 1194431502
Physician Assistant - Medical in Cleveland, TN

NPI Status: Active since January 30, 2023

Contact Information

2200 CHAMBLISS AVE NW
CLEVELAND, TN
ZIP 37311
Phone: (423) 599-9347

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  • Organization
  • Physician Assistant
  • Medical
  • CLIA Number: 44D2295375
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-10-2025

About FAMILY CHRISTIAN CARE CENTER, LLC

This page provides the complete NPI Profile along with additional information for Family Christian Care Center, Llc, a primary care provider established in Cleveland, Tennessee operating as a Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1194431502 assigned on January 2023. The practitioner's primary taxonomy code is 363AM0700X. The provider is registered as an organization and their NPI record was last updated 3 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 former legal business name is Family Christian Care Center. The authorized official of this NPI record is Dr. Jennifer D Walker Dmsc, Pa-c (Owner-physician Assistant)

NPI
1194431502
Provider Legal Name
FAMILY CHRISTIAN CARE CENTER, LLC
Other Organization Name
FAMILY CHRISTIAN CARE CENTER
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
2200 CHAMBLISS AVE NW CLEVELAND, TN 37311
Location Phone
(423) 599-9347
Mailing Address
2200 CHAMBLISS AVE NW CLEVELAND, TN 37311
Mailing Phone
(423) 599-9347
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-30-2023
Last Update Date
06-22-2023
Code Navigator

A primary care provider (PCP) like Family Christian Care Center, Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers

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.

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

DR. JENNIFER D WALKER DMSC, PA-C

Authorized Official Title
OWNER-PHYSICIAN ASSISTANT
Authorized Official Phone
(423) 599-9347

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D2295375
Facility Type
Physician Office
Certificate Effective Date
December 11, 2023
Certificate Expiration Date
December 10, 2025
Laboratory Director
JENNIFER WALKER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Family Christian Care Center, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1194431502, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
3
Unchanged
Pos 7
1
Doubled → 2
Pos 8
5
Unchanged
Pos 9
0
Doubled → 0
Check
2
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 9 → 18 → 9 4 → 8 1 → 2 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 + 8 + 4 + 8 + 3 + 2 + 5 + 0 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1194431502.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Dermatology
2200 CHAMBLISS AVE NW
CLEVELAND, TN 37311
Dermatology
2200 CHAMBLISS AVE NW
CLEVELAND, TN 37311
Counselor (Mental Health)
2200 CHAMBLISS AVE NW
CLEVELAND, TN 37311
Marriage & Family Therapist
2200 CHAMBLISS AVE NW
CLEVELAND, TN 37311
Physician Assistant (Medical)
2200 CHAMBLISS AVE NW
CLEVELAND, TN 37311

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194431502, enumerated as an "organization" on January 30, 2023.

The provider is located at 2200 CHAMBLISS AVE NW CLEVELAND, TN 37311 and the phone number is (423) 599-9347.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.