SOUTHERN MEDICAL SUPPLY
NPI 1457697146
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies in Scottsville, KY

NPI Status: Active since December 27, 2012

Contact Information

625 KENTUCKY 980
SCOTTSVILLE, KY
ZIP 42164
Phone: (270) 239-3200

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • Oxygen Equipment & Supplies
  • CLIA Number: 18D2281142
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 05-01-2027

About SOUTHERN MEDICAL SUPPLY

This page provides the complete NPI Profile along with additional information for Southern Medical Supply, a provider established in Scottsville, Kentucky operating as a Durable Medical Equipment & Medical Supplies, focusing in oxygen equipment & supplies . The healthcare provider is registered in the NPI registry with number 1457697146 assigned on December 2012. The practitioner's primary taxonomy code is 332BX2000X with license number MG0842 (KY). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Mr. Jay Blankenship (Owner)

NPI
1457697146
Provider Name
SOUTHERN MEDICAL SUPPLY
Entity Type
Organization
Location Address
625 KENTUCKY 980 SCOTTSVILLE, KY 42164
Location Phone
(270) 239-3200
Mailing Address
625 VETERANS MEMORIAL HWY SCOTTSVILLE, KY 42164
Mailing Phone
(270) 239-3200
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-27-2012
Last Update Date
05-17-2013
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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

Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies

Taxonomy Code
332BX2000X
Type
Suppliers
License No.
MG0842
License State
KY

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

MR. JAY BLANKENSHIP

Authorized Official Title
OWNER
Authorized Official Phone
(270) 606-0663

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
18D2281142
Facility Type
Practitioner Other
Certificate Effective Date
May 02, 2025
Certificate Expiration Date
May 01, 2027
Laboratory Director
MS. LINDSEY D. LANDES
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Southern Medical Supply 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 1457697146, 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 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
5
Doubled → 10 → 1 + 0
Pos 4
7
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
1
Unchanged
Pos 9
4
Doubled → 8
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 5 → 10 → 1 6 → 12 → 3 7 → 14 → 5 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 0 + 7 + 1 + 2 + 9 + 1 + 4 + 1 + 8 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1457697146.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457697146, enumerated as an "organization" on December 27, 2012.

The provider is located at 625 KENTUCKY 980 SCOTTSVILLE, KY 42164 and the phone number is (270) 239-3200.

Durable Medical Equipment & Medical Supplies with taxonomy code 332BX2000X and a focus in Oxygen Equipment & Supplies.