PALMETTO BRAIN, SPINE, & ORTHOPEDIC
NPI 1609548254
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Pensacola, FL

NPI Status: Active since October 01, 2021

Contact Information

657 E ROMANA ST
PENSACOLA, FL
ZIP 32502
Phone: (850) 446-2909

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  • Organization
  • Orthopaedic Surgery
  • Orthopaedic Surgery of the Spine
  • CLIA Number: 10D2306458
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-17-2026

About PALMETTO BRAIN, SPINE, & ORTHOPEDIC

This page provides the complete NPI Profile along with additional information for Palmetto Brain, Spine, & Orthopedic, a provider established in Pensacola, Florida operating as a Orthopaedic Surgery, focusing in orthopaedic surgery of the spine . The healthcare provider is registered in the NPI registry with number 1609548254 assigned on October 2021. The practitioner's primary taxonomy code is 207XS0117X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Palmetto Brain, Spine, & Orthopedic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Palmetto Brain, Spine, & Orthopedic. The authorized official of this NPI record is Seth Jacknowitz (Cro)

NPI
1609548254
Provider Legal Name
NORTH FLORIDA ORTHOPEDIC AND SPINE, PLLC
Other Organization Name
PALMETTO BRAIN, SPINE, & ORTHOPEDIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
657 E ROMANA ST PENSACOLA, FL 32502
Location Phone
(850) 446-2909
Mailing Address
4400 STATE HIGHWAY 121 STE 405 LEWISVILLE, TX 75056
Mailing Phone
(469) 459-9754
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-01-2021
Last Update Date
05-25-2023
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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 Orthopaedic Surgery of the Spine

Taxonomy Code
207XS0117X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

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.

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

SETH JACKNOWITZ

Authorized Official Title
CRO
Authorized Official Phone
(469) 459-9754

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
10D2306458
Facility Type
Physician Office
Certificate Effective Date
June 18, 2024
Certificate Expiration Date
June 17, 2026
Laboratory Director
DR. JAY T. FLOTTMANN
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Palmetto Brain, Spine, & Orthopedic on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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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 1609548254, 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
6
Unchanged
Pos 3
0
Doubled → 0
Pos 4
9
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
4
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
2
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
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 0 → 0 5 → 10 → 1 8 → 16 → 7 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 0 + 9 + 1 + 0 + 4 + 1 + 6 + 2 + 1 + 0 + 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 1609548254.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609548254, enumerated as an "organization" on October 01, 2021.

The provider is located at 657 E ROMANA ST PENSACOLA, FL 32502 and the phone number is (850) 446-2909.

Orthopaedic Surgery with taxonomy code 207XS0117X and a focus in Orthopaedic Surgery of the Spine.