DR. JEREMY SHAWN MIRABILE M.D. ABPM-ADM, FASAM
NPI 1295749968
Family Medicine - Addiction Medicine in Ponte Vedra Beach, FL

NPI Status: Active since July 28, 2006

Contact Information

1030 A1A N
PONTE VEDRA BEACH, FL
ZIP 32082
Phone: (904) 551-1394
Fax: (888) 770-4284

NPI Profile Information
Primary Taxonomy
Secondary Locations
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Family Medicine
Addiction Medicine

About JEREMY MIRABILE

This page provides the complete NPI Profile along with additional information for Jeremy Mirabile, a provider established in Ponte Vedra Beach, Florida with a medical specialization in Family Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1295749968 assigned on July 2006. The practitioner's primary taxonomy code is 207QA0401X with license number ME88707 (FL). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI: 1295749968
Provider Name: DR. JEREMY SHAWN MIRABILE M.D. ABPM-ADM, FASAM
Gender: Male
Entity Type: Individual
Location Address: 1030 A1A N PONTE VEDRA BEACH, FL 32082
Location Phone: (904) 551-1394
Location Fax: (888) 770-4284
Mailing Address: 1030 A1A N PONTE VEDRA BEACH, FL 32082
Mailing Phone: (904) 551-1394
Mailing Fax: (888) 770-4284
Is Sole Proprietor?: No
Enumeration Date: 07-28-2006
Last Update Date: 08-30-2024
Code Navigator

Location Map

Secondary Locations

6100 Greenland Rd Suite 201
Jacksonville, FL 32258
(904) 551-1394
1106 A1A N Ste 201A
Ponte Vedra Beach, FL 32082
(904) 551-1394

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: Family Medicine Addiction Medicine
Taxonomy Code: 207QA0401X
Type: Allopathic & Osteopathic Physicians
License No.: ME88707
License State: FL
Taxonomy Description: A family medicine physician who specializes in the diagnosis and treatment of addictions.

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 1295749968, we treat the final digit (8) 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

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

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 18 → 1 + 8

Pos 4

Unchanged

Pos 5

Doubled → 14 → 1 + 4

Pos 6

Unchanged

Pos 7

Doubled → 18 → 1 + 8

Pos 8

Unchanged

Pos 9

Doubled → 12 → 1 + 2

Check

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 9 → 18 → 9 7 → 14 → 5 9 → 18 → 9 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 8 + 5 + 1 + 4 + 4 + 1 + 8 + 9 + 1 + 2 + 24 = 72

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

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8

This NPI is valid

The calculated check digit is 8, which matches the last digit of 1295749968.