SOZO HEALTH PAVILION, PA
NPI 1538111414
Family Medicine - Adult Medicine in Jacksonville, NC

NPI Status: Active since May 17, 2006

Contact Information

615 COLLEGE ST
JACKSONVILLE, NC
ZIP 28540
Phone: (910) 455-7110
Fax: (910) 455-7938

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  • Organization
  • Family Medicine
  • Adult Medicine

About SOZO HEALTH PAVILION, PA

This page provides the complete NPI Profile along with additional information for Sozo Health Pavilion, Pa, a primary care provider established in Jacksonville, North Carolina operating as a Family Medicine, focusing in adult medicine . The healthcare provider is registered in the NPI registry with number 1538111414 assigned on May 2006. The practitioner's primary taxonomy code is 207QA0505X with license number 28713 (NC). The provider is registered as an organization and their NPI record was last updated 15 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 Mrs. Phyllis Aycock Williams R.n. (Manager)

NPI
1538111414
Provider Name
SOZO HEALTH PAVILION, PA
Entity Type
Organization
Location Address
615 COLLEGE ST JACKSONVILLE, NC 28540
Location Phone
(910) 455-7110
Location Fax
(910) 455-7938
Mailing Address
PO BOX 7105 JACKSONVILLE, NC 28540
Mailing Phone
(910) 455-7110
Mailing Fax
(910) 455-7938
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-17-2006
Last Update Date
02-28-2011
Code Navigator

A primary care provider (PCP) like Sozo Health Pavilion, Pa sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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

Family Medicine Adult Medicine

Taxonomy Code
207QA0505X
Type
Allopathic & Osteopathic Physicians
License No.
28713
License State
NC
Taxonomy Description
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

28713 (NC)
2101YP1600XBehavioral Health & Social Service Providers

Counselor
Pastoral

28713 (NC)
3163WG0000XNursing Service Providers

Registered Nurse
General Practice

082155 (NC)
4207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

28713 (NC)
5207QA0401XAllopathic & Osteopathic Physicians

Family Medicine
Addiction Medicine

28713 (NC)
6207VG0400XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology
Gynecology

28713 (NC)
72083P0901XAllopathic & Osteopathic Physicians

Preventive Medicine
Public Health & General Preventive Medicine

28713 (NC)
8208D00000XAllopathic & Osteopathic Physicians

General Practice

28713 (NC)
9251S00000XAgencies

Community/Behavioral Health

28713 (NC)

Group Taxonomy 193400000X MULTIPLE 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.

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

MRS. PHYLLIS AYCOCK WILLIAMS R.N.

Authorized Official Title
MANAGER
Authorized Official Phone
(910) 455-7110

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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 1538111414, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
5
Unchanged
Pos 3
3
Doubled → 6
Pos 4
8
Unchanged
Pos 5
1
Doubled → 2
Pos 6
1
Unchanged
Pos 7
1
Doubled → 2
Pos 8
4
Unchanged
Pos 9
1
Doubled → 2
Check
4
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 3 → 6 1 → 2 1 → 2 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 6 + 8 + 2 + 1 + 2 + 4 + 2 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1538111414.

Other Providers at the Same Location


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

Registered Nurse (Home Health)
615 COLLEGE ST
JACKSONVILLE, NC 28540
Counselor (Mental Health)
615 COLLEGE ST
JACKSONVILLE, NC 28540
Counselor (Mental Health)
615 COLLEGE ST
JACKSONVILLE, NC 28540

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538111414, enumerated as an "organization" on May 17, 2006.

The provider is located at 615 COLLEGE ST JACKSONVILLE, NC 28540 and the phone number is (910) 455-7110.

Family Medicine with taxonomy code 207QA0505X and a focus in Adult Medicine.