SOUTHERN BONE & JOINT SPECIALISTS, PA
NPI 1487901807
Orthopaedic Surgery in Columbia, MS

NPI Status: Active since August 06, 2012

Contact Information

1215 HIGHWAY 98 BYP
COLUMBIA, MS
ZIP 39429
Phone: (601) 554-7400
Fax: (601) 554-7488

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  • Organization
  • Orthopaedic Surgery
  • CLIA Number: 25D2241268
  • CLIA Cert. Type: Other - HOME CARE AGENCY
  • CLIA Exp. Date: 10-25-2025

About SOUTHERN BONE & JOINT SPECIALISTS, PA

This page provides the complete NPI Profile along with additional information for Southern Bone & Joint Specialists, Pa, a provider established in Columbia, Mississippi operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1487901807 assigned on August 2012. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated 14 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 Mr. David M Burckel (Ceo)

NPI
1487901807
Provider Name
SOUTHERN BONE & JOINT SPECIALISTS, PA
Entity Type
Organization
Location Address
1215 HIGHWAY 98 BYP COLUMBIA, MS 39429
Location Phone
(601) 554-7400
Location Fax
(601) 554-7488
Mailing Address
3688 VETERANS MEMORIAL DR SUITE 200 HATTIESBURG, MS 39401
Mailing Phone
(601) 554-7400
Mailing Fax
(601) 554-7488
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-06-2012
Last Update Date
08-06-2012
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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

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

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:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

MR. DAVID M BURCKEL

Authorized Official Title
CEO
Authorized Official Phone
(601) 554-7449

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
09015183MEDICAID (05)MS 
C01026MEDICARE PIN (08)MS 

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
25D2241268
Facility Type
Other - HOME CARE AGENCY
Certificate Effective Date
October 26, 2023
Certificate Expiration Date
October 25, 2025
Laboratory Director
TAMALA S. STUBBS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Southern Bone & Joint Specialists, Pa 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 1487901807, 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 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.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
7
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
Check
7
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 8 → 16 → 7 9 → 18 → 9 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 + 1 + 6 + 7 + 1 + 8 + 0 + 2 + 8 + 0 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1487901807.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Physical Therapist
1215 HIGHWAY 98 BYP
COLUMBIA, MS 39429
Physical Therapist
1215 HIGHWAY 98 BYP
COLUMBIA, MS 39429
Physical Therapist
1215 HIGHWAY 98 BYP
COLUMBIA, MS 39429

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487901807, enumerated as an "organization" on August 06, 2012.

The provider is located at 1215 HIGHWAY 98 BYP COLUMBIA, MS 39429 and the phone number is (601) 554-7400.

Orthopaedic Surgery with taxonomy code 207X00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.