WESTSIDE FAMILY MEDICAL CLINIC OF TUPELO LLC
NPI 1427429992
Nurse Practitioner - Primary Care in Tupelo, MS

NPI Status: Active since October 09, 2015

Contact Information

65 S THOMAS ST
TUPELO, MS
ZIP 38801
Phone: (813) 712-9638

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Nurse Practitioner
Primary Care
Accepts Insurance

About WESTSIDE FAMILY MEDICAL CLINIC OF TUPELO LLC

This page provides the complete NPI Profile along with additional information for Westside Family Medical Clinic Of Tupelo Llc, a provider established in Tupelo, Mississippi operating as a Nurse Practitioner, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1427429992 assigned on October 2015. The practitioner's primary taxonomy code is 363LP2300X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Neil Vickers (Owner)

NPI: 1427429992
Provider Name: WESTSIDE FAMILY MEDICAL CLINIC OF TUPELO LLC
Entity Type: Organization
Location Address: 65 S THOMAS ST TUPELO, MS 38801
Location Phone: (813) 712-9638
Mailing Address: 65 S THOMAS ST TUPELO, MS 38801
Mailing Phone: (813) 712-9638
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 10-09-2015
Last Update Date: 10-09-2015
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A nurse practitioner (NP) like Westside Family Medical Clinic Of Tupelo Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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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: Nurse Practitioner Primary Care
Taxonomy Code: 363LP2300X
Type: Physician Assistants & Advanced Practice Nursing Providers

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Molina Healthcare

Bronze 4 - HMO
Bronze 8 - HMO
Gold 1 - HMO
Gold 1 with Adult Vision Services - HMO
Gold 8 - HMO
Silver 1 - HMO
Silver 1 with Adult Vision Services - HMO
Silver 12 with First 4 Primary Care Visits Free - HMO
Silver 8 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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: NEIL VICKERS
Authorized Official Title: OWNER
Authorized Official Phone: (813) 712-9638

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	4	2	7	4	2	9	9	9	2
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	4	4	7	8	2	18	9	18
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 8 + 2 + 1 + 8 + 9 + 1 + 8 + 24 = 78
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 78 = 2									2

The NPI number 1427429992 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.