OLD TOWN MEDICAL CLINIC
NPI 1548111503
General Practice in Noblesville, IN
NPI Status: Active since February 05, 2026
Contact Information
475 SHERIDAN RD
NOBLESVILLE, IN
ZIP 46060
Phone: (317) 315-4554
Fax: (317) 863-5046
- Organization
- General Practice
About OLD TOWN MEDICAL CLINIC
This page provides the complete NPI Profile along with additional information for Old Town Medical Clinic, a primary care provider established in Noblesville, Indiana operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1548111503 assigned on February 2026. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated February 2026. Old Town Medical Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Cassidy Jayne Mckinley Agacnp-bc (Owner/provider/medical Director)
- NPI
- 1548111503
- Provider Name
- OLD TOWN MEDICAL CLINIC
- Entity Type
- Organization
- Location Address
- 475 SHERIDAN RD NOBLESVILLE, IN 46060
- Location Phone
- (317) 315-4554
- Location Fax
- (317) 863-5046
- Mailing Address
- 475 SHERIDAN RD NOBLESVILLE, IN 46060
- Mailing Phone
- (317) 315-4554
- Mailing Fax
- (317) 863-5046
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-05-2026
- Last Update Date
- 02-05-2026
- Code Navigator
A primary care provider (PCP) like Old Town Medical Clinic 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
Secondary Locations
- 7098 N Shadeland Ave
Indianapolis, IN 46220
(317) 315-4554
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
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
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.
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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 1548111503, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548111503, enumerated as an "organization" on February 05, 2026.
The provider is located at 475 SHERIDAN RD NOBLESVILLE, IN 46060 and the phone number is (317) 315-4554.
General Practice with taxonomy code 208D00000X.
