SEQUATCHIE VALLEY UROLOGY, LLC
NPI 1225025653
Urology in Jasper, TN
NPI Status: Active since September 30, 2005
Contact Information
980 HIGHWAY 28
SUITE 201
JASPER, TN
ZIP 37347
Phone: (423) 942-2555
Fax: (423) 942-2005
- Organization
- Urology
- CLIA Number: 44D1018014
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-09-2027
About SEQUATCHIE VALLEY UROLOGY, LLC
This page provides the complete NPI Profile along with additional information for Sequatchie Valley Urology, Llc, a provider established in Jasper, Tennessee operating as a Urology. The healthcare provider is registered in the NPI registry with number 1225025653 assigned on September 2005. The practitioner's primary taxonomy code is 208800000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Sequatchie Valley Urology, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Patrick Birmingham (Director)
- NPI
- 1225025653
- Provider Name
- SEQUATCHIE VALLEY UROLOGY, LLC
- Entity Type
- Organization
- Location Address
- 980 HIGHWAY 28 SUITE 201 JASPER, TN 37347
- Location Phone
- (423) 942-2555
- Location Fax
- (423) 942-2005
- Mailing Address
- 980 HIGHWAY 28 SUITE 201 JASPER, TN 37347
- Mailing Phone
- (423) 942-2555
- Mailing Fax
- (423) 942-2005
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-30-2005
- Last Update Date
- 08-22-2020
- 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
Urology
- Taxonomy Code
- 208800000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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
- 44D1018014
- Facility Type
- Physician Office
- Certificate Effective Date
- October 10, 2025
- Certificate Expiration Date
- October 09, 2027
- Laboratory Director
- KARIN A. BOECK MD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Sequatchie Valley Urology, Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate 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 1225025653, we treat the final digit (3) 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 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).
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 47 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
JASPER, TN 37347
JASPER, TN 37347
JASPER, TN 37347
JASPER, TN 37347
JASPER, TN 37347
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225025653, enumerated as an "organization" on September 30, 2005.
The provider is located at 980 HIGHWAY 28 SUITE 201 JASPER, TN 37347 and the phone number is (423) 942-2555.
Urology with taxonomy code 208800000X.
