360 INTEGRATED CARE PC
NPI 1366108102
Internal Medicine - Addiction Medicine in Madison, TN
NPI Status: Active since November 16, 2021
Contact Information
1210 BRIARVILLE RD.
BLDG B
MADISON, TN
ZIP 37115
Phone: (615) 868-8612
Fax: (615) 860-4510
- Organization
- Internal Medicine
- Addiction Medicine
- CLIA Number: 44D2262596
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 06-14-2026
About 360 INTEGRATED CARE PC
This page provides the complete NPI Profile along with additional information for 360 Integrated Care Pc, an internist established in Madison, Tennessee operating as a Internal Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1366108102 assigned on November 2021. The practitioner's primary taxonomy code is 207RA0401X. The provider is registered as an organization and their NPI record was last updated 5 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 Thomas B Miller (President/owner)
- NPI
- 1366108102
- Provider Name
- 360 INTEGRATED CARE PC
- Entity Type
- Organization
- Location Address
- 1210 BRIARVILLE RD. BLDG B MADISON, TN 37115
- Location Phone
- (615) 868-8612
- Location Fax
- (615) 860-4510
- Mailing Address
- 1210 BRIARVILLE RD. BLDG B MADISON, TN 37115
- Mailing Phone
- (615) 868-8612
- Mailing Fax
- (615) 860-4510
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-16-2021
- Last Update Date
- 11-16-2021
- Code Navigator
An internist like 360 Integrated Care Pc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
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
Internal Medicine Addiction Medicine
- Taxonomy Code
- 207RA0401X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
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.
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
- 44D2262596
- Facility Type
- Community Clinic
- Certificate Effective Date
- June 15, 2024
- Certificate Expiration Date
- June 14, 2026
- Laboratory Director
- THOMAS B. MILLER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to 360 Integrated Care Pc 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 1366108102, we treat the final digit (2) 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 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 48 is 50. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366108102, enumerated as an "organization" on November 16, 2021.
The provider is located at 1210 BRIARVILLE RD. BLDG B MADISON, TN 37115 and the phone number is (615) 868-8612.
Internal Medicine with taxonomy code 207RA0401X and a focus in Addiction Medicine.
