LIVEWELL CLINICS
NPI 1245006311
Clinic/Center - Multi-Specialty in Winston Salem, NC

NPI Status: Active since November 30, 2023

Contact Information

MEDICAL CENTER BOULEVARD
GROUND FLOOR, MEADS HALL
WINSTON SALEM, NC
ZIP 27106
Phone: (336) 716-2255

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • CLIA Number: 34D2011150
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-18-2027

About LIVEWELL CLINICS

This page provides the complete NPI Profile along with additional information for Livewell Clinics, a provider established in Winston Salem, North Carolina operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1245006311 assigned on November 2023. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Livewell Clinics. The authorized official of this NPI record is Russell Mars Howerton (Sr Vp Network Phys & Hscmo)

NPI
1245006311
Provider Legal Name
WAKE FOREST HEALTH NETWORK LLC
Other Organization Name
LIVEWELL CLINICS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
MEDICAL CENTER BOULEVARD GROUND FLOOR, MEADS HALL WINSTON SALEM, NC 27106
Location Phone
(336) 716-2255
Mailing Address
100 KIMEL FOREST DR WINSTON SALEM, NC 27103
Mailing Phone
(336) 716-1331
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-30-2023
Last Update Date
12-05-2023
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Location Map

Secondary Locations

  • 1370 W D St
    North Wilkesboro, NC 28659
    (336) 716-2255
  • 575 N Patterson Ave Ste 148
    Winston Salem, NC 27101
    (336) 716-2255
  • 306 Westwood Ave Ste 401
    High Point, NC 27262
    (336) 716-2255

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 Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

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

RUSSELL MARS HOWERTON

Authorized Official Title
SR VP NETWORK PHYS & HSCMO
Authorized Official Phone
(336) 716-1331

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
34D2011150
Facility Type
Physician Office
Certificate Effective Date
April 19, 2025
Certificate Expiration Date
April 18, 2027
Laboratory Director
JOSEPH T. PERRY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Livewell Clinics 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 1245006311, we treat the final digit (1) 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

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
4
Doubled → 8
Pos 4
5
Unchanged
Pos 5
0
Doubled → 0
Pos 6
0
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
3
Unchanged
Pos 9
1
Doubled → 2
Check
1
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 4 → 8 0 → 0 6 → 12 → 3 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 8 + 5 + 0 + 0 + 1 + 2 + 3 + 2 + 24 = 49

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

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1245006311.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Anesthetist, Certified Registered
MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27106

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245006311, enumerated as an "organization" on November 30, 2023.

The provider is located at MEDICAL CENTER BOULEVARD GROUND FLOOR, MEADS HALL WINSTON SALEM, NC 27106 and the phone number is (336) 716-2255.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.