PIGEON FORGE MEDICAL CLINIC
NPI 1427151406
Medical Genetics, Ph.D. Medical Genetics in Pigeon Forge, TN

NPI Status: Active since September 06, 2006

Contact Information

3342 PARKWAY
PIGEON FORGE, TN
ZIP 37863
Phone: (865) 453-1924
Fax: (865) 453-1926

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  • Organization
  • Medical Genetics, Ph.D. Medical Genetics
  • CLIA Number: 44D0673221
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 08-31-2026

About PIGEON FORGE MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for Pigeon Forge Medical Clinic, a provider established in Pigeon Forge, Tennessee operating as a Medical Genetics, Ph.d. Medical Genetics. The healthcare provider is registered in the NPI registry with number 1427151406 assigned on September 2006. The practitioner's primary taxonomy code is 170100000X with license number TNMD14371 (TN). 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 Dr. Jerry Bradley Md (Physician)

NPI
1427151406
Provider Name
PIGEON FORGE MEDICAL CLINIC
Entity Type
Organization
Location Address
3342 PARKWAY PIGEON FORGE, TN 37863
Location Phone
(865) 453-1924
Location Fax
(865) 453-1926
Mailing Address
3342 PARKWAY PIGEON FORGE, TN 37863
Mailing Phone
(865) 453-1924
Mailing Fax
(865) 453-1926
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-06-2006
Last Update Date
08-22-2020
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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

Medical Genetics, Ph.D. Medical Genetics

Taxonomy Code
170100000X
Type
Other Service Providers
License No.
TNMD14371
License State
TN
Taxonomy Description
A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists.

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

DR. JERRY BRADLEY MD

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(865) 453-1924

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
44D0673221
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
KATHY L. GREEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pigeon Forge Medical Clinic 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 1427151406, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 4 + 7 + 2 + 5 + 2 + 4 + 0 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1427151406.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner (Primary Care)
3342 PARKWAY
PIGEON FORGE, TN 37863

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427151406, enumerated as an "organization" on September 06, 2006.

The provider is located at 3342 PARKWAY PIGEON FORGE, TN 37863 and the phone number is (865) 453-1924.

Medical Genetics, Ph.D. Medical Genetics with taxonomy code 170100000X.