DELTA CONCIERGE MEDICINE, INC.
NPI 1598049264
Health Maintenance Organization in Clarksdale, MS

NPI Status: Active since September 29, 2011

Contact Information

705 N STATE ST
CLARKSDALE, MS
ZIP 38614
Phone: (662) 621-2192

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  • Health Maintenance Organization

About DELTA CONCIERGE MEDICINE, INC.

This page provides the complete NPI Profile along with additional information for Delta Concierge Medicine, Inc., a provider established in Clarksdale, Mississippi operating as a Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1598049264 assigned on September 2011. The practitioner's primary taxonomy code is 302R00000X with license number 16776 (MS). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Dr. Kenneth Kellough (Chief Executive Officer)

NPI
1598049264
Provider Name
DELTA CONCIERGE MEDICINE, INC.
Entity Type
Organization
Location Address
705 N STATE ST CLARKSDALE, MS 38614
Location Phone
(662) 621-2192
Mailing Address
PO BOX 1930 CLARKSDALE, MS 38614
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-29-2011
Last Update Date
09-29-2011
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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

Health Maintenance Organization

Taxonomy Code
302R00000X
Type
Managed Care Organizations
License No.
16776
License State
MS
Taxonomy Description
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.

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

DR. KENNETH KELLOUGH

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(662) 621-2192

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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 1598049264, 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 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
9
Doubled → 18 → 1 + 8
Pos 4
8
Unchanged
Pos 5
0
Doubled → 0
Pos 6
4
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
2
Unchanged
Pos 9
6
Doubled → 12 → 1 + 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 9 → 18 → 9 0 → 0 9 → 18 → 9 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 8 + 8 + 0 + 4 + 1 + 8 + 2 + 1 + 2 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1598049264.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Internal Medicine
705 N STATE ST
CLARKSDALE, MS 38614
Internal Medicine
705 N STATE ST
CLARKSDALE, MS 38614
Clinic/Center (Primary Care)
705 N STATE ST
CLARKSDALE, MS 38614
Nurse Practitioner (Family)
705 N STATE ST
CLARKSDALE, MS 38614

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598049264, enumerated as an "organization" on September 29, 2011.

The provider is located at 705 N STATE ST CLARKSDALE, MS 38614 and the phone number is (662) 621-2192.

Health Maintenance Organization with taxonomy code 302R00000X.