ALABAMA STATE SPORTS MEDICINE
NPI 1205356938
Orthopaedic Surgery - Sports Medicine in Montgomery, AL
NPI Status: Active since June 23, 2017
Contact Information
915 S JACKSON ST
MONTGOMERY, AL
ZIP 36104
Phone: (972) 367-4845
- Organization
- Orthopaedic Surgery
- Sports Medicine
- CLIA Number: 01D2132019
- CLIA Cert. Type: Other - COLLEGE HEALTH CENTER
- CLIA Exp. Date: 06-08-2027
About ALABAMA STATE SPORTS MEDICINE
This page provides the complete NPI Profile along with additional information for Alabama State Sports Medicine, a provider established in Montgomery, Alabama operating as a Orthopaedic Surgery, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1205356938 assigned on June 2017. The practitioner's primary taxonomy code is 207XX0005X with license number 32588 (AL). The provider is registered as an organization and their NPI record was last updated 9 years ago. Alabama State Sports Medicine 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 Alabama State Sports Medicine. The authorized official of this NPI record is Mouzon Bass Iii (Agent)
- NPI
- 1205356938
- Provider Legal Name
- ALABAMA STATE UNIVERSITY
- Other Organization Name
- ALABAMA STATE SPORTS MEDICINE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 915 S JACKSON ST MONTGOMERY, AL 36104
- Location Phone
- (972) 367-4845
- Mailing Address
- 5050 SPRING VALLEY RD DALLAS, TX 75244
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-23-2017
- Last Update Date
- 06-23-2017
- 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
Orthopaedic Surgery Sports Medicine
- Taxonomy Code
- 207XX0005X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 32588
- License State
- AL
- Taxonomy Description
- An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
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.
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
- 01D2132019
- Facility Type
- Other - COLLEGE HEALTH CENTER
- Certificate Effective Date
- June 09, 2025
- Certificate Expiration Date
- June 08, 2027
- Laboratory Director
- JOYCE LOYD-DAVIS CRNP
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Alabama State Sports Medicine 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 1205356938, 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 12 providers are registered at the same or a nearby location.
MONTGOMERY, AL 36104
MONTGOMERY, AL 36104
MONTGOMERY, AL 36104
MONTGOMERY, AL 36104
MONTGOMERY, AL 36104
MONTGOMERY, AL 36104
MONTGOMERY, AL 36104
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205356938, enumerated as an "organization" on June 23, 2017.
The provider is located at 915 S JACKSON ST MONTGOMERY, AL 36104 and the phone number is (972) 367-4845.
Orthopaedic Surgery with taxonomy code 207XX0005X and a focus in Sports Medicine.
