WEATHERLY SPORTS MEDICINE & FAMILY ORTHOPAEDICS, PA
NPI 1215025358
Orthopaedic Surgery in Jackson, MS

NPI Status: Active since October 11, 2006

Contact Information

1801 CRANE RIDGE DR
SUITE C
JACKSON, MS
ZIP 39216
Phone: (601) 981-5633
Fax: (601) 981-1844

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  • Organization
  • Orthopaedic Surgery

About WEATHERLY SPORTS MEDICINE & FAMILY ORTHOPAEDICS, PA

This page provides the complete NPI Profile along with additional information for Weatherly Sports Medicine & Family Orthopaedics, Pa, a provider established in Jackson, Mississippi operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1215025358 assigned on October 2006. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated 12 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 authorized official of this NPI record is Dr. Wallace W Weatherly Iii M.d. (Physician/owner)

NPI
1215025358
Provider Name
WEATHERLY SPORTS MEDICINE & FAMILY ORTHOPAEDICS, PA
Entity Type
Organization
Location Address
1801 CRANE RIDGE DR SUITE C JACKSON, MS 39216
Location Phone
(601) 981-5633
Location Fax
(601) 981-1844
Mailing Address
PO BOX 1154 MADISON, MS 39130
Mailing Phone
(601) 981-5633
Mailing Fax
(601) 981-1844
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-11-2006
Last Update Date
03-28-2014
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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

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

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.

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. WALLACE W WEATHERLY III M.D.

Authorized Official Title
PHYSICIAN/OWNER
Authorized Official Phone
(601) 856-5633

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
E95980MEDICARE UPIN (02)MS 
07105081MEDICAID (05)MS 

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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 1215025358, 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 42. The final step is to find the difference between that total and the next multiple of ten (50 - 42 = 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
1
Doubled → 2
Pos 4
5
Unchanged
Pos 5
0
Doubled → 0
Pos 6
2
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
3
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
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 1 → 2 0 → 0 5 → 10 → 1 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 2 + 5 + 0 + 2 + 1 + 0 + 3 + 1 + 0 + 24 = 42

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

The next multiple of ten after 42 is 50. The difference is the calculated check digit.

50 - 42 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1215025358.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Counselor (Professional)
1801 CRANE RIDGE DR, SUITE A
JACKSON, MS 39216
Counselor (Professional)
1801 CRANE RIDGE DR, SUITE A
JACKSON, MS 39216
Orthopaedic Surgery
1801 CRANE RIDGE DR, SUITE C
JACKSON, MS 39216

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215025358, enumerated as an "organization" on October 11, 2006.

The provider is located at 1801 CRANE RIDGE DR SUITE C JACKSON, MS 39216 and the phone number is (601) 981-5633.

Orthopaedic Surgery with taxonomy code 207X00000X.

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