MIZELL MEMORIAL HOSPITALIST GROUP
NPI 1477032795
Hospitalist in Opp, AL

NPI Status: Active since August 08, 2018

Contact Information

702 N MAIN ST
OPP, AL
ZIP 36467
Phone: (334) 493-3541
Fax: (334) 493-9664

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  • Organization
  • Hospitalist
  • CLIA Number: 01D0665255
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 02-16-2027

About MIZELL MEMORIAL HOSPITALIST GROUP

This page provides the complete NPI Profile along with additional information for Mizell Memorial Hospitalist Group, a provider established in Opp, Alabama operating as a Hospitalist. The healthcare provider is registered in the NPI registry with number 1477032795 assigned on August 2018. The practitioner's primary taxonomy code is 208M00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Mizell Memorial Hospitalist Group operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Mizell Memorial Hospitalist Group. The authorized official of this NPI record is Jana Wyatt (Ceo / Cfo)

NPI
1477032795
Provider Legal Name
MIZELL MEMORIAL HOSPITAL, INC.
Other Organization Name
MIZELL MEMORIAL HOSPITALIST GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
702 N MAIN ST OPP, AL 36467
Location Phone
(334) 493-3541
Location Fax
(334) 493-9664
Mailing Address
PO BOX 1010 OPP, AL 36467
Mailing Phone
(334) 493-3541
Mailing Fax
(334) 493-9664
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-08-2018
Last Update Date
12-24-2019
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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

Hospitalist

Taxonomy Code
208M00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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

JANA WYATT

Authorized Official Title
CEO / CFO
Authorized Official Phone
(334) 493-9111

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
01D0665255
Facility Type
Hospital
Certificate Effective Date
February 17, 2025
Certificate Expiration Date
February 16, 2027
Laboratory Director
KENNETH J. CROWE
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Mizell Memorial Hospitalist Group after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high 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 1477032795, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
7
Doubled → 14 → 1 + 4
Pos 4
7
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
2
Doubled → 4
Pos 8
7
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
5
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 7 → 14 → 5 0 → 0 2 → 4 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 4 + 7 + 0 + 3 + 4 + 7 + 1 + 8 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1477032795.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
702 N MAIN ST
OPP, AL 36467
Clinic/Center (Magnetic Resonance Imaging (MRI))
702 N MAIN ST
OPP, AL 36467
Emergency Medicine
702 N MAIN ST
OPP, AL 36467
Radiology (Diagnostic Radiology)
702 N MAIN ST
OPP, AL 36467
Emergency Medicine
702 N MAIN ST
OPP, AL 36467
Nurse Anesthetist, Certified Registered
702 N MAIN ST
OPP, AL 36467
Nurse Anesthetist, Certified Registered
702 N MAIN ST
OPP, AL 36467
Hospitalist
702 N MAIN ST
OPP, AL 36467
Nurse Practitioner (Primary Care)
702 N MAIN ST
OPP, AL 36467
General Acute Care Hospital (Rural)
702 N MAIN ST
OPP, AL 36467
Medicare Defined Swing Bed Unit
702 N MAIN ST
OPP, AL 36467
Nurse Practitioner (Psychiatric/Mental Health)
702 N MAIN ST
OPP, AL 36467
Podiatrist (Foot & Ankle Surgery)
702 N MAIN ST
OPP, AL 36467
Emergency Medicine
702 N MAIN ST
OPP, AL 36467
Emergency Medicine
702 N MAIN ST
OPP, AL 36467

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477032795, enumerated as an "organization" on August 08, 2018.

The provider is located at 702 N MAIN ST OPP, AL 36467 and the phone number is (334) 493-3541.

Hospitalist with taxonomy code 208M00000X.