RECOVERY SPECIALISTS OF MID SOUTH, LLC
NPI 1417599747
Prevention Professional in Jackson, TN
NPI Status: Active since October 08, 2019
Contact Information
164 W UNIVERSITY PKWY
JACKSON, TN
ZIP 38305
Phone: (731) 215-1135
Fax: (731) 410-6156
- Organization
- Prevention Professional
- CLIA Number: 44D2090872
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-01-2027
About RECOVERY SPECIALISTS OF MID SOUTH, LLC
This page provides the complete NPI Profile along with additional information for Recovery Specialists Of Mid South, Llc, a provider established in Jackson, Tennessee operating as a Prevention Professional. The healthcare provider is registered in the NPI registry with number 1417599747 assigned on October 2019. The practitioner's primary taxonomy code is 405300000X. The provider is registered as an organization and their NPI record was last updated one year 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
- NPI
- 1417599747
- Provider Legal Name
- RECOVERY SPECIALISTS OF MID SOUTH, LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 164 W UNIVERSITY PKWY JACKSON, TN 38305
- Location Phone
- (731) 215-1135
- Location Fax
- (731) 410-6156
- Mailing Address
- 164 W UNIVERSITY PKWY STE A JACKSON, TN 38305
- Mailing Phone
- (731) 215-1135
- Mailing Fax
- (731) 410-6156
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-08-2019
- Last Update Date
- 03-25-2025
- 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
Prevention Professional
- Taxonomy Code
- 405300000X
- Type
- Other Service Providers
- Taxonomy Description
- Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.
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
- 44D2090872
- Facility Type
- Physician Office
- Certificate Effective Date
- February 02, 2025
- Certificate Expiration Date
- February 01, 2027
- Laboratory Director
- JAMES APPLETON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Recovery Specialists Of Mid South, 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.
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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 1417599747, we treat the final digit (7) 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 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).
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 73 is 80. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417599747, enumerated as an "organization" on October 08, 2019.
The provider is located at 164 W UNIVERSITY PKWY JACKSON, TN 38305 and the phone number is (731) 215-1135.
Prevention Professional with taxonomy code 405300000X.
