GARY G. BOLTON, M. D., P. A.
NPI 1205067188
Clinic/Center in Ridgeland, MS

NPI Status: Active since July 27, 2009

Contact Information

305 HIGHLAND PARK COVE
RIDGELAND, MS
ZIP 39157
Phone: (601) 206-9433

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  • Organization
  • Clinic/Center

About GARY G. BOLTON, M. D., P. A.

This page provides the complete NPI Profile along with additional information for Gary G. Bolton, M. D., P. A., a provider established in Ridgeland, Mississippi operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1205067188 assigned on July 2009. The practitioner's primary taxonomy code is 261Q00000X with license number 10243 (MS). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Dr. Gary G Bolton M. D. (President)

NPI
1205067188
Provider Name
GARY G. BOLTON, M. D., P. A.
Entity Type
Organization
Location Address
305 HIGHLAND PARK COVE RIDGELAND, MS 39157
Location Phone
(601) 206-9433
Mailing Address
305 HIGHLAND PARK COVE RIDGELAND, MS 39157
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-27-2009
Last Update Date
07-27-2009
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
10243
License State
MS
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).

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.

*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

DR. GARY G BOLTON M. D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(601) 206-9433

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
00111886MEDICAID (05)MS 
070000036MEDICARE PIN (08) 

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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 1205067188, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

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
7
Doubled → 14 → 1 + 4
Pos 8
1
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
8
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 7 → 14 → 5 8 → 16 → 7

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 + 1 + 4 + 1 + 1 + 6 + 24 = 52

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

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1205067188.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205067188, enumerated as an "organization" on July 27, 2009.

The provider is located at 305 HIGHLAND PARK COVE RIDGELAND, MS 39157 and the phone number is (601) 206-9433.

Clinic/Center with taxonomy code 261Q00000X.

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