MCDOWELL MEDICAL ASSOCIATES, PA
NPI 1194780411
Family Medicine in Marion, NC

NPI Status: Active since April 19, 2006

Contact Information

1860 SUGAR HILL RD
MARION, NC
ZIP 28752
Phone: (828) 652-8727
Fax: (828) 652-8793

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  • Organization
  • Family Medicine
  • CLIA Number: 34D0699936
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-23-2027

About MCDOWELL MEDICAL ASSOCIATES, PA

This page provides the complete NPI Profile along with additional information for Mcdowell Medical Associates, Pa, a primary care provider established in Marion, North Carolina operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1194780411 assigned on April 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 40576 (NC). The provider is registered as an organization and their NPI record was last updated 15 years ago. Mcdowell Medical Associates, Pa 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 Mcdowell Medical Associates, Pa. The authorized official of this NPI record is Mr. Robert Fritts (Chief Financial Officer)

NPI
1194780411
Provider Legal Name
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC
Other Organization Name
MCDOWELL MEDICAL ASSOCIATES, PA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1860 SUGAR HILL RD MARION, NC 28752
Location Phone
(828) 652-8727
Location Fax
(828) 652-8793
Mailing Address
1860 SUGAR HILL RD MARION, NC 28752
Mailing Phone
(828) 652-8727
Mailing Fax
(828) 652-8793
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-19-2006
Last Update Date
09-27-2011
Code Navigator

A primary care provider (PCP) like Mcdowell Medical Associates, Pa 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
40576
License State
NC
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

40576 (NC)

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.

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.

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

MR. ROBERT FRITTS

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(828) 580-5000

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
2327875FMEDICARE PIN (08)NC 
2327875EMEDICARE PIN (08)NC 
690168LMEDICAID (05)NC 
34D0699936OTHER (01)NCCLIA #
34D0947561OTHER (01)NCCLIA
023T1OTHER (01)NCBCBSNC
5915267MEDICAID (05)NC 

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
34D0699936
Facility Type
Physician Office
Certificate Effective Date
April 24, 2025
Certificate Expiration Date
April 23, 2027
Laboratory Director
MELANIE M. ORANGE
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Mcdowell Medical Associates, Pa after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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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 1194780411, 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 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
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
8
Unchanged
Pos 7
0
Doubled → 0
Pos 8
4
Unchanged
Pos 9
1
Doubled → 2
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 9 → 18 → 9 7 → 14 → 5 0 → 0 1 → 2

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 + 1 + 4 + 8 + 0 + 4 + 2 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1194780411.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Physician Assistant
1860 SUGAR HILL RD
MARION, NC 28752
Nurse Practitioner (Family)
1860 SUGAR HILL RD
MARION, NC 28752

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194780411, enumerated as an "organization" on April 19, 2006.

The provider is located at 1860 SUGAR HILL RD MARION, NC 28752 and the phone number is (828) 652-8727.

Family Medicine with taxonomy code 207Q00000X.

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