AMELIA EXPRESS CARE, LLC
NPI 1245611037
Clinic/Center - Urgent Care in Fernandina Beach, FL

NPI Status: Active since June 17, 2015

Contact Information

1987 S 8TH ST
FERNANDINA BEACH, FL
ZIP 32034
Phone: (904) 624-7003
Fax: (904) 212-1284

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  • Organization
  • Clinic/Center
  • Urgent Care
  • CLIA Number: 10D2090144
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 01-14-2027

About AMELIA EXPRESS CARE, LLC

This page provides the complete NPI Profile along with additional information for Amelia Express Care, Llc, a provider established in Fernandina Beach, Florida operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1245611037 assigned on June 2015. The practitioner's primary taxonomy code is 261QU0200X with license number OS10149 (FL). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Jacob Logsdon Pa (Mgr)

NPI
1245611037
Provider Name
AMELIA EXPRESS CARE, LLC
Entity Type
Organization
Location Address
1987 S 8TH ST FERNANDINA BEACH, FL 32034
Location Phone
(904) 624-7003
Location Fax
(904) 212-1284
Mailing Address
1987 S 8TH ST FERNANDINA BEACH, FL 32034
Mailing Phone
(904) 624-7003
Mailing Fax
(904) 212-1284
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-17-2015
Last Update Date
06-17-2015
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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 Urgent Care

Taxonomy Code
261QU0200X
Type
Ambulatory Health Care Facilities
License No.
OS10149
License State
FL

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

JACOB LOGSDON PA

Authorized Official Title
MGR
Authorized Official Phone
(904) 624-7003

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
10D2090144
Facility Type
Community Clinic
Certificate Effective Date
January 15, 2025
Certificate Expiration Date
January 14, 2027
Laboratory Director
JONATHAN S. WILLIAMS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Amelia Express Care, Llc 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 1245611037, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

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

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 8 + 5 + 1 + 2 + 1 + 2 + 0 + 6 + 24 = 53

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

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1245611037.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Physician Assistant (Medical)
1987 S 8TH ST
FERNANDINA BEACH, FL 32034
Clinic/Center (Primary Care)
1987 S 8TH ST
FERNANDINA BEACH, FL 32034
Internal Medicine
1987 S 8TH ST
FERNANDINA BEACH, FL 32034
Physician Assistant (Medical)
1987 S 8TH ST
FERNANDINA BEACH, FL 32034
Physician Assistant
1987 S 8TH ST
FERNANDINA BEACH, FL 32034

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245611037, enumerated as an "organization" on June 17, 2015.

The provider is located at 1987 S 8TH ST FERNANDINA BEACH, FL 32034 and the phone number is (904) 624-7003.

Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.