JACKSONVILLE ARISTO ER, LLC
NPI 1316312028
Emergency Medicine in Jacksonville, AL

NPI Status: Active since December 07, 2015

Contact Information

1701 PELHAM RD S
JACKSONVILLE, AL
ZIP 36265
Phone: (256) 435-4970
Fax: (205) 313-5298

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Emergency Medicine
CLIA Number: 01D2074962
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 08-18-2027

About JACKSONVILLE ARISTO ER, LLC

This page provides the complete NPI Profile along with additional information for Jacksonville Aristo Er, Llc, a provider established in Jacksonville, Alabama operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1316312028 assigned on December 2015. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Charles Rich Street Jr. (Ceo/owner)

NPI: 1316312028
Provider Name: JACKSONVILLE ARISTO ER, LLC
Entity Type: Organization
Location Address: 1701 PELHAM RD S JACKSONVILLE, AL 36265
Location Phone: (256) 435-4970
Location Fax: (205) 313-5298
Mailing Address: PO BOX 830525 DEPT# SF54 BIRMINGHAM, AL 35283
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 12-07-2015
Last Update Date: 12-07-2015
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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: Emergency Medicine
Taxonomy Code: 207P00000X
Type: Allopathic & Osteopathic Physicians
Taxonomy Description: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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: MR. CHARLES RICH STREET JR.
Authorized Official Title: CEO/OWNER
Authorized Official Phone: (205) 313-5202

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: 01D2074962
Facility Type: Physician Office
Certificate Effective Date: August 19, 2025
Certificate Expiration Date: August 18, 2027
Laboratory Director: ADAMS S. BLAGBURN
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Jacksonville Aristo Er, 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.

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 1316312028, 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 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 → 2

Pos 4

Unchanged

Pos 5

Doubled → 6

Pos 6

Unchanged

Pos 7

Doubled → 4

Pos 8

Unchanged

Pos 9

Doubled → 4

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 1 → 2 3 → 6 2 → 4 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 2 + 6 + 6 + 1 + 4 + 0 + 4 + 24 = 52

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

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8

This NPI is valid

The calculated check digit is 8, which matches the last digit of 1316312028.