SAMPSON REGIONAL PROFESSIONAL SERVICES, LLC
NPI 1265828990
Surgery in Clinton, NC

NPI Status: Active since April 09, 2015

Contact Information

607 BEAMAN ST
CLINTON, NC
ZIP 28328
Phone: (910) 592-8511
Fax: (910) 596-5430

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  • Organization
  • Surgery
  • CLIA Number: 34D2046178
  • CLIA Cert. Type: Other - BLOOD DONOR COLLECT SITE
  • CLIA Exp. Date: 08-27-2026

About SAMPSON REGIONAL PROFESSIONAL SERVICES, LLC

This page provides the complete NPI Profile along with additional information for Sampson Regional Professional Services, Llc, a provider established in Clinton, North Carolina operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1265828990 assigned on April 2015. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. Sampson Regional Professional Services, 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 Dr. Gerald Heinzman Md (Director)

NPI
1265828990
Provider Name
SAMPSON REGIONAL PROFESSIONAL SERVICES, LLC
Entity Type
Organization
Location Address
607 BEAMAN ST CLINTON, NC 28328
Location Phone
(910) 592-8511
Location Fax
(910) 596-5430
Mailing Address
607 BEAMAN ST CLINTON, NC 28328
Mailing Phone
(910) 592-8511
Mailing Fax
(910) 596-5430
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-09-2015
Last Update Date
04-10-2015
Code Navigator

A surgeon like Sampson Regional Professional Services, Llc treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

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

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
2207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

 
3207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

 

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.

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. GERALD HEINZMAN MD

Authorized Official Title
DIRECTOR
Authorized Official Phone
(910) 590-8755

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
34D2046178
Facility Type
Other - BLOOD DONOR COLLECT SITE
Certificate Effective Date
August 28, 2024
Certificate Expiration Date
August 27, 2026
Laboratory Director
FALVY C. BARR JR
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Sampson Regional Professional Services, 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 1265828990, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

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
6
Doubled → 12 → 1 + 2
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
2
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
9
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
0
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 6 → 12 → 3 8 → 16 → 7 8 → 16 → 7 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 2 + 5 + 1 + 6 + 2 + 1 + 6 + 9 + 1 + 8 + 24 = 70

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

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1265828990.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Anesthetist, Certified Registered
607 BEAMAN ST, ANESTHESIA DEPARTMENT
CLINTON, NC 28328
General Acute Care Hospital
607 BEAMAN ST
CLINTON, NC 28328
Anesthesiology
607 BEAMAN ST
CLINTON, NC 28328
Emergency Medicine (Emergency Medical Services)
607 BEAMAN ST
CLINTON, NC 28328
Emergency Medicine
607 BEAMAN ST
CLINTON, NC 28328
Nurse Anesthetist, Certified Registered
607 BEAMAN ST, ANESTHESIA DEPARTMENT
CLINTON, NC 28328
Nurse Anesthetist, Certified Registered
607 BEAMAN ST
CLINTON, NC 28328
Nurse Anesthetist, Certified Registered
607 BEAMAN ST
CLINTON, NC 28328
Nurse Anesthetist, Certified Registered
607 BEAMAN ST
CLINTON, NC 28328
Skilled Nursing Facility
607 BEAMAN ST
CLINTON, NC 28328
Physical Therapist
607 BEAMAN ST
CLINTON, NC 28328
General Acute Care Hospital
607 BEAMAN ST
CLINTON, NC 28328
Emergency Medicine
607 BEAMAN ST
CLINTON, NC 28328
Medicare Defined Swing Bed Unit
607 BEAMAN ST
CLINTON, NC 28328
Dietitian, Registered
607 BEAMAN ST, PO DRAWER 260
CLINTON, NC 28328
Preventive Medicine (Undersea and Hyperbaric Medicine)
607 BEAMAN ST
CLINTON, NC 28328
Student in an Organized Health Care Education/Training Program
607 BEAMAN ST
CLINTON, NC 28328
Physician Assistant
607 BEAMAN ST
CLINTON, NC 28328
Internal Medicine
607 BEAMAN ST
CLINTON, NC 28328
Hospitalist
607 BEAMAN ST
CLINTON, NC 28328

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265828990, enumerated as an "organization" on April 09, 2015.

The provider is located at 607 BEAMAN ST CLINTON, NC 28328 and the phone number is (910) 592-8511.

Surgery with taxonomy code 208600000X.