JEFFERSON PULM CC PA
NPI 1396954228
Internal Medicine - Pulmonary Disease in Monticello, AR
NPI Status: Active since May 21, 2007
Contact Information
606 ROBERTS DRIVE
MONTICELLO, AR
ZIP 71655
Phone: (870) 850-6053
- Organization
- Internal Medicine
- Pulmonary Disease
- CLIA Number: 04D2176842
- CLIA Cert. Type: Rural Health Clinic
- CLIA Exp. Date: 12-26-2025
About JEFFERSON PULM CC PA
This page provides the complete NPI Profile along with additional information for Jefferson Pulm Cc Pa, an internist established in Monticello, Arkansas operating as a Internal Medicine, focusing in pulmonary disease . The healthcare provider is registered in the NPI registry with number 1396954228 assigned on May 2007. The practitioner's primary taxonomy code is 207RP1001X with license number E2334 (AR). The provider is registered as an organization and their NPI record was last updated 6 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 Tanya M Simpson (President)
- NPI
- 1396954228
- Provider Name
- JEFFERSON PULM CC PA
- Entity Type
- Organization
- Location Address
- 606 ROBERTS DRIVE MONTICELLO, AR 71655
- Location Phone
- (870) 850-6053
- Mailing Address
- PO BOX 7824 PINE BLUFF, AR 71611
- Mailing Phone
- (870) 850-6053
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-21-2007
- Last Update Date
- 08-22-2020
- Code Navigator
An internist like Jefferson Pulm Cc Pa 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 Pulmonary Disease
- Taxonomy Code
- 207RP1001X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- E2334
- License State
- AR
- Taxonomy Description
- An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
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
- 04D2176842
- Facility Type
- Rural Health Clinic
- Certificate Effective Date
- December 27, 2023
- Certificate Expiration Date
- December 26, 2025
- Laboratory Director
- MS. APRIL WYNNE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Jefferson Pulm Cc Pa 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.
Reviews for JEFFERSON PULM CC PA
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 1396954228, 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.
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 72 is 80. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396954228, enumerated as an "organization" on May 21, 2007.
The provider is located at 606 ROBERTS DRIVE MONTICELLO, AR 71655 and the phone number is (870) 850-6053.
Internal Medicine with taxonomy code 207RP1001X and a focus in Pulmonary Disease.
