SOUTHERN KIDNEY CARE
NPI 1407192172
Internal Medicine - Nephrology in Birmingham, AL

NPI Status: Active since December 27, 2012

Contact Information

3570 GRANDVIEW PKWY STE 2
BIRMINGHAM, AL
ZIP 35243
Phone: (205) 354-2100
Fax: (866) 343-6766

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  • Organization
  • Internal Medicine
  • Nephrology
  • CLIA Number: 01D1012706
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 12-09-2025

About SOUTHERN KIDNEY CARE

This page provides the complete NPI Profile along with additional information for Southern Kidney Care, an internist established in Birmingham, Alabama operating as a Internal Medicine, focusing in nephrology . The healthcare provider is registered in the NPI registry with number 1407192172 assigned on December 2012. The practitioner's primary taxonomy code is 207RN0300X. The provider is registered as an organization and their NPI record was last updated 4 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 provider's is doing business as Southern Kidney Care. The authorized official of this NPI record is Jennie Peterson (Vp Of Operations)

NPI
1407192172
Provider Legal Name
NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA, LLC
Other Organization Name
SOUTHERN KIDNEY CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3570 GRANDVIEW PKWY STE 2 BIRMINGHAM, AL 35243
Location Phone
(205) 354-2100
Location Fax
(866) 343-6766
Mailing Address
1840 E. RAY ROAD CHANDLER, AZ 85225
Mailing Phone
(205) 354-2100
Mailing Fax
(866) 343-6766
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-27-2012
Last Update Date
07-21-2022
Code Navigator

An internist like Southern Kidney Care 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 Nephrology

Taxonomy Code
207RN0300X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

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

JENNIE PETERSON

Authorized Official Title
VP OF OPERATIONS
Authorized Official Phone
(205) 983-1120

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
01D1012706
Facility Type
Independent
Certificate Effective Date
December 10, 2023
Certificate Expiration Date
December 09, 2025
Laboratory Director
THOMAS J. ALFORD
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Southern Kidney Care after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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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 1407192172, 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 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.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
0
Doubled → 0
Pos 4
7
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
2
Doubled → 4
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
2
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 0 → 0 1 → 2 2 → 4 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 0 + 7 + 2 + 9 + 4 + 1 + 1 + 4 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1407192172.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407192172, enumerated as an "organization" on December 27, 2012.

The provider is located at 3570 GRANDVIEW PKWY STE 2 BIRMINGHAM, AL 35243 and the phone number is (205) 354-2100.

Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.