PINEHURST SURGICAL CLINIC PA
NPI 1275714636
Surgery in Raeford, NC

NPI Status: Active since November 14, 2007

Contact Information

6322 FAYETTEVILLE RD
RAEFORD, NC
ZIP 28376
Phone: (910) 878-6730
Fax: (910) 878-6735

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  • Organization
  • Surgery
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About PINEHURST SURGICAL CLINIC PA

This page provides the complete NPI Profile along with additional information for Pinehurst Surgical Clinic Pa, a provider established in Raeford, North Carolina operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1275714636 assigned on November 2007. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Pinehurst Surgical Clinic Pa 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 Charles Gregg (Clinical Informatics Manager)

NPI
1275714636
Provider Name
PINEHURST SURGICAL CLINIC PA
Entity Type
Organization
Location Address
6322 FAYETTEVILLE RD RAEFORD, NC 28376
Location Phone
(910) 878-6730
Location Fax
(910) 878-6735
Mailing Address
5 FIRST VILLAGE DRIVE PINEHURST, NC 28374
Mailing Phone
(910) 295-6831
Mailing Fax
(910) 878-6735
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-14-2007
Last Update Date
09-13-2022
Code Navigator

A surgeon like Pinehurst Surgical Clinic Pa 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.

Pinehurst Surgical Clinic Pa is a medicare supplier with PTAN 20669933 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Contracture Treatment Devices: Dynamic Splint or Traction Equipment or Canes and/or Crutches or Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Breast Prostheses and/or Accessories or Surgical Dressings or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom.

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)
1207T00000XAllopathic & Osteopathic Physicians

Neurological Surgery

 
2207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

 
3207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

 
4207Y00000XAllopathic & Osteopathic Physicians

Otolaryngology

 
5208100000XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation

 
62086S0129XAllopathic & Osteopathic Physicians

Surgery
Vascular Surgery

 
7208800000XAllopathic & Osteopathic Physicians

Urology

 

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

CHARLES GREGG

Authorized Official Title
CLINICAL INFORMATICS MANAGER
Authorized Official Phone
(910) 295-6831

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20669933
Accepts Medicare Assignment
YES
Specialities List
Orthotic Personnel.
Provider Type List
PHYSICIAN – GENERAL SURGERY.
Competitive Bidding
NO

Supplies List

  • Contracture Treatment Devices: Dynamic Splint - Dynamic splinting devices for the knee, elbow, wrist, finger, or toe
  • Traction Equipment - Traction tables, Traction machines, Inversion tables
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
  • Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Breast Prostheses and/or Accessories - Prosthetic bra, Surgical bra
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles
  • Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles

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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 1275714636, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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
7
Doubled → 14 → 1 + 4
Pos 4
5
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
1
Unchanged
Pos 7
4
Doubled → 8
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
6
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 7 → 14 → 5 7 → 14 → 5 4 → 8 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 4 + 5 + 1 + 4 + 1 + 8 + 6 + 6 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1275714636.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Physician Assistant (Medical)
6322 FAYETTEVILLE RD
RAEFORD, NC 28376
Family Medicine
6322 FAYETTEVILLE RD
RAEFORD, NC 28376
Nurse Practitioner (Family)
6322 FAYETTEVILLE RD
RAEFORD, NC 28376
Internal Medicine (Cardiovascular Disease)
6322 FAYETTEVILLE RD, SUITE B
RAEFORD, NC 28376
Nurse Practitioner
6322 FAYETTEVILLE RD
RAEFORD, NC 28376
Nurse Practitioner (Family)
6322 FAYETTEVILLE RD
RAEFORD, NC 28376
Nurse Practitioner
6322 FAYETTEVILLE RD
RAEFORD, NC 28376
Family Medicine
6322 FAYETTEVILLE RD
RAEFORD, NC 28376
Nurse Practitioner (Family)
6322 FAYETTEVILLE RD
RAEFORD, NC 28376
Physician Assistant
6322 FAYETTEVILLE RD
RAEFORD, NC 28376

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275714636, enumerated as an "organization" on November 14, 2007.

The provider is located at 6322 FAYETTEVILLE RD RAEFORD, NC 28376 and the phone number is (910) 878-6730.

Surgery with taxonomy code 208600000X.