JOHNSON MEDICAL CLINIC
NPI 1205063146
Clinic/Center in Red Springs, NC

NPI Status: Active since June 18, 2009

Contact Information

222 S MAIN ST
RED SPRINGS, NC
ZIP 28377
Phone: (910) 843-4576
Fax: (910) 738-3764

Get Directions Write a Review

  • Organization
  • Clinic/Center

About JOHNSON MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for Johnson Medical Clinic, a provider established in Red Springs, North Carolina operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1205063146 assigned on June 2009. The practitioner's primary taxonomy code is 261Q00000X with license number H0064 (NC). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Johnson Medical Clinic. The authorized official of this NPI record is Charles T. Johnson Iii (Cfo)

NPI
1205063146
Provider Legal Name
SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Other Organization Name
JOHNSON MEDICAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
222 S MAIN ST RED SPRINGS, NC 28377
Location Phone
(910) 843-4576
Location Fax
(910) 738-3764
Mailing Address
2600 N ELM ST LUMBERTON, NC 28358
Mailing Phone
(910) 272-3051
Mailing Fax
(910) 738-3764
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-18-2009
Last Update Date
06-18-2009
Code Navigator

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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
H0064
License State
NC
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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

CHARLES T. JOHNSON III

Authorized Official Title
CFO
Authorized Official Phone
(910) 671-5090

Reviews for JOHNSON MEDICAL CLINIC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1205063146, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
0
Doubled → 0
Pos 6
6
Unchanged
Pos 7
3
Doubled → 6
Pos 8
1
Unchanged
Pos 9
4
Doubled → 8
Check
6
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 0 → 0 0 → 0 3 → 6 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 0 + 5 + 0 + 6 + 6 + 1 + 8 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1205063146.

Other Providers at the Same Location


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

Clinic/Center (Rural Health)
222 S MAIN ST
RED SPRINGS, NC 28377
Obstetrics & Gynecology
222 S MAIN ST
RED SPRINGS, NC 28377

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205063146, enumerated as an "organization" on June 18, 2009.

The provider is located at 222 S MAIN ST RED SPRINGS, NC 28377 and the phone number is (910) 843-4576.

Clinic/Center with taxonomy code 261Q00000X.