SOUTHERN REGIONAL AHEC
NPI 1639625106
Clinic/Center - Primary Care in Fayetteville, NC
NPI Status: Active since August 25, 2016
Contact Information
1601 OWEN DR
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 678-0100
Fax: (910) 678-0115
- Organization
- Clinic/Center
- Primary Care
- CLIA Number: 34D0244939
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-07-2027
About SOUTHERN REGIONAL AHEC
This page provides the complete NPI Profile along with additional information for Southern Regional Ahec, a primary care provider established in Fayetteville, North Carolina operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1639625106 assigned on August 2016. The practitioner's primary taxonomy code is 261QP2300X with license number L004639 (NC). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Southern Regional Ahec. The authorized official of this NPI record is Dr. Sushma Kapoor M.d. (Vp Ceas)
- NPI
- 1639625106
- Provider Legal Name
- FAYETTEVILLE AREA HEALTH EDUCATION FOUNDATION, INC.
- Other Organization Name
- SOUTHERN REGIONAL AHEC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1601 OWEN DR FAYETTEVILLE, NC 28304
- Location Phone
- (910) 678-0100
- Location Fax
- (910) 678-0115
- Mailing Address
- 1601 OWEN DR FAYETTEVILLE, NC 28304
- Mailing Phone
- (910) 678-0100
- Mailing Fax
- (910) 678-0115
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-25-2016
- Last Update Date
- 08-25-2016
- Code Navigator
A primary care provider (PCP) like Southern Regional Ahec 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
Clinic/Center Primary Care
- Taxonomy Code
- 261QP2300X
- Type
- Ambulatory Health Care Facilities
- License No.
- L004639
- License State
- NC
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
- 34D0244939
- Facility Type
- Physician Office
- Certificate Effective Date
- March 08, 2025
- Certificate Expiration Date
- March 07, 2027
- Laboratory Director
- DR. CHRISTOPHER GIAUQUE
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Southern Regional Ahec 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 1639625106, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
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 54 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
FAYETTEVILLE, NC 28304
FAYETTEVILLE, NC 28304
FAYETTEVILLE, NC 28304
FAYETTEVILLE, NC 28304
FAYETTEVILLE, NC 28304
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639625106, enumerated as an "organization" on August 25, 2016.
The provider is located at 1601 OWEN DR FAYETTEVILLE, NC 28304 and the phone number is (910) 678-0100.
Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.
