UNIVERSITY OF MONTEVALLO
NPI 1568864494
Orthopaedic Surgery - Sports Medicine in Montevallo, AL

NPI Status: Active since September 23, 2014

Contact Information

75 COLLEGE DR
STATION 6060
MONTEVALLO, AL
ZIP 35115
Phone: (205) 665-6602
Fax: (205) 665-6614

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  • Organization
  • Orthopaedic Surgery
  • Sports Medicine
  • CLIA Number: 01D0906698
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 10-03-2027

About UNIVERSITY OF MONTEVALLO

This page provides the complete NPI Profile along with additional information for University Of Montevallo, a provider established in Montevallo, Alabama operating as a Orthopaedic Surgery, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1568864494 assigned on September 2014. The practitioner's primary taxonomy code is 207XX0005X. The provider is registered as an organization and their NPI record was last updated one year 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 provider's . The authorized official of this NPI record is Ms. Mauren Gregory Lat Atc (Head Athletic Trainer)

NPI
1568864494
Provider Legal Name
UNIVERSITY OF MONTEVALLO
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
75 COLLEGE DR STATION 6060 MONTEVALLO, AL 35115
Location Phone
(205) 665-6602
Location Fax
(205) 665-6614
Mailing Address
75 COLLEGE DR STATION 6602 MONTEVALLO, AL 35115
Mailing Phone
(205) 665-6602
Mailing Fax
(205) 665-6614
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-23-2014
Last Update Date
03-05-2025
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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

Orthopaedic Surgery Sports Medicine

Taxonomy Code
207XX0005X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

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)
12080S0010XAllopathic & Osteopathic Physicians

Pediatrics
Sports Medicine

 

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

MS. MAUREN GREGORY LAT ATC

Authorized Official Title
HEAD ATHLETIC TRAINER
Authorized Official Phone
(205) 665-6602

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
01D0906698
Facility Type
School/Student Health Service
Certificate Effective Date
October 04, 2025
Certificate Expiration Date
October 03, 2027
Laboratory Director
MS. ERICA MORRISON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to University Of Montevallo 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 1568864494, 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 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 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
6
Doubled → 12 → 1 + 2
Pos 4
8
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
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 6 → 12 → 3 8 → 16 → 7 4 → 8 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 2 + 8 + 1 + 6 + 6 + 8 + 4 + 1 + 8 + 24 = 76

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

The next multiple of ten after 76 is 80. The difference is the calculated check digit.

80 - 76 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1568864494.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Specialist/Technologist (Athletic Trainer)
75 COLLEGE DR
MONTEVALLO, AL 35115
Specialist/Technologist (Athletic Trainer)
75 COLLEGE DR, STATION 6600
MONTEVALLO, AL 35115
Specialist/Technologist (Athletic Trainer)
75 COLLEGE DR
MONTEVALLO, AL 35115
Counselor
75 COLLEGE DR, STATION 6385, BLOCH 105
MONTEVALLO, AL 35115
Physician Assistant
75 COLLEGE DR
MONTEVALLO, AL 35115
Specialist/Technologist (Athletic Trainer)
75 COLLEGE DR
MONTEVALLO, AL 35115

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568864494, enumerated as an "organization" on September 23, 2014.

The provider is located at 75 COLLEGE DR STATION 6060 MONTEVALLO, AL 35115 and the phone number is (205) 665-6602.

Orthopaedic Surgery with taxonomy code 207XX0005X and a focus in Sports Medicine.