NATCHEZ VA CBOC
NPI 1528006152
Clinic/Center - VA in Natchez, MS

NPI Status: Active since June 04, 2006

Contact Information

105 NORTHGATE RD
SUITE 2
NATCHEZ, MS
ZIP 39120
Phone: (615) 355-3451

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  • Organization
  • Clinic/Center
  • VA
  • Accepts Insurance
  • CLIA Number: 25D1049557
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-09-2026

About NATCHEZ VA CBOC

This page provides the complete NPI Profile along with additional information for Natchez Va Cboc, a provider established in Natchez, Mississippi operating as a Clinic/center, focusing in va . The healthcare provider is registered in the NPI registry with number 1528006152 assigned on June 2006. The practitioner's primary taxonomy code is 261QV0200X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's other name is Natchez Va Cboc. The authorized official of this NPI record is Erin Potter (Npi Team Member)

NPI
1528006152
Provider Legal Name
JACKSON VAMC
Other Organization Name
NATCHEZ VA CBOC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
105 NORTHGATE RD SUITE 2 NATCHEZ, MS 39120
Location Phone
(615) 355-3451
Mailing Address
PO BOX 94497 CLEVELAND, OH 44101
Mailing Phone
(615) 355-3451
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-04-2006
Last Update Date
10-04-2017
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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

Clinic/Center VA

Taxonomy Code
261QV0200X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

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

  • Connect Bronze 5500 Indiv Med Deductible Enhanced Diabetes Care - EPO
  • Connect Bronze 6500 Indiv Med Deductible - EPO
  • Connect Bronze 8500 Indiv Med Deductible - EPO
  • Connect Bronze CMS Standard - EPO
  • Connect Gold 2000 Indiv Med Deductible - EPO
  • Connect Gold CMS Standard - EPO
  • Connect Silver 3800 Indiv Med Deductible Enhanced Diabetes Care - EPO
  • Connect Silver 4000 Indiv Med Deductible - EPO
  • Connect Silver 6500 Indiv Med Deductible - EPO
  • Connect Silver CMS Standard - EPO

*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

ERIN POTTER

Authorized Official Title
NPI TEAM MEMBER
Authorized Official Phone
(202) 382-2579

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
25D1049557
Facility Type
Physician Office
Certificate Effective Date
January 10, 2024
Certificate Expiration Date
January 09, 2026
Laboratory Director
DR. WILLIAM S. HAY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Natchez Va Cboc 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.

Reviews for NATCHEZ VA CBOC

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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.
1528006152
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25480012110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 0 + 0 + 1 + 2 + 1 + 1 + 0 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1528006152 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

DONNA E BURRIS LCSW

Social Worker

(Clinical)

105 NORTHGATE RD
SUITE 2
NATCHEZ, MS
ZIP 39120

(601) 442-7141

WARREN LANE MERRIETT JR.

Nurse Practitioner

(Family)

105 NORTHGATE RD
SUITE 2
NATCHEZ, MS
ZIP 39120

(601) 442-7141

AMANDA HOWINGTON MSN, FNP-C

Nurse Practitioner

(Psychiatric/Mental Health)

105 NORTHGATE RD
SUITE D
NATCHEZ, MS
ZIP 39120

(601) 442-7676

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528006152, enumerated as an "organization" on June 04, 2006.

The provider is located at 105 NORTHGATE RD SUITE 2 NATCHEZ, MS 39120 and the phone number is (615) 355-3451.

Clinic/Center with taxonomy code 261QV0200X and a focus in VA.

The provider might be accepting Accepts: Cigna Healthcare. Please consult your insurance carrier or call the provider to verify.