PRIMECARE MEDICAL CLINIC
NPI 1407307788
Clinic/Center in North Little Rock, AR
NPI Status: Active since October 20, 2016
Contact Information
2504 MCCAIN BLVD
STE 118
NORTH LITTLE ROCK, AR
ZIP 72116
Phone: (501) 812-6655
Fax: (501) 812-6677
- Organization
- Clinic/Center
- CLIA Number: 04D2079405
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-15-2026
About PRIMECARE MEDICAL CLINIC
This page provides the complete NPI Profile along with additional information for Primecare Medical Clinic, a provider established in North Little Rock, Arkansas operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1407307788 assigned on October 2016. The practitioner's primary taxonomy code is 261Q00000X with license number BL2016-00512 (AR). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Primecare Medical Clinic. The authorized official of this NPI record is Emily Harrell (Human Capital Coordinator)
- NPI
- 1407307788
- Provider Legal Name
- JP WORNOCK, MD, PA
- Other Organization Name
- PRIMECARE MEDICAL CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2504 MCCAIN BLVD STE 118 NORTH LITTLE ROCK, AR 72116
- Location Phone
- (501) 812-6655
- Location Fax
- (501) 812-6677
- Mailing Address
- 2504 MCCAIN BLVD STE 118 NORTH LITTLE ROCK, AR 72116
- Mailing Phone
- (501) 812-6655
- Mailing Fax
- (501) 812-6677
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-20-2016
- Last Update Date
- 10-20-2016
- Code Navigator
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
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- BL2016-00512
- License State
- AR
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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
- 04D2079405
- Facility Type
- Physician Office
- Certificate Effective Date
- June 16, 2024
- Certificate Expiration Date
- June 15, 2026
- Laboratory Director
- DR. JOHN P. WORNOCK
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Primecare Medical Clinic in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate 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 1407307788, 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 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 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
NORTH LITTLE ROCK, AR 72116
NORTH LITTLE ROCK, AR 72116
NORTH LITTLE ROCK, AR 72116
NORTH LITTLE ROCK, AR 72116
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407307788, enumerated as an "organization" on October 20, 2016.
The provider is located at 2504 MCCAIN BLVD STE 118 NORTH LITTLE ROCK, AR 72116 and the phone number is (501) 812-6655.
Clinic/Center with taxonomy code 261Q00000X.
