ROSWELL CLINIC CORP
NPI 1649267618
Family Medicine in Roswell, NM

NPI Status: Active since October 04, 2005

Contact Information

350 W COUNTRY CLUB RD
STE 201
ROSWELL, NM
ZIP 88201
Phone: (888) 801-5554

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  • Organization
  • Family Medicine
  • Accepts Insurance
  • CLIA Number: 32D2006103
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-16-2026

About ROSWELL CLINIC CORP

This page provides the complete NPI Profile along with additional information for Roswell Clinic Corp, a primary care provider established in Roswell, New Mexico operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1649267618 assigned on October 2005. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Roswell Clinic Corp 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 Jennifer L Jackson (Senior Director, Enrollment)

NPI
1649267618
Provider Name
ROSWELL CLINIC CORP
Entity Type
Organization
Location Address
350 W COUNTRY CLUB RD STE 201 ROSWELL, NM 88201
Location Phone
(888) 801-5554
Mailing Address
4000 MERIDIAN BLVD FRANKLIN, TN 37067
Mailing Phone
(615) 465-7000
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-04-2005
Last Update Date
01-25-2022
Code Navigator

A primary care provider (PCP) like Roswell Clinic Corp 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License State
NM
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
2207RC0000XAllopathic & Osteopathic Physicians

Internal Medicine
Cardiovascular Disease

 
3207RP1001XAllopathic & Osteopathic Physicians

Internal Medicine
Pulmonary Disease

 
4207RS0012XAllopathic & Osteopathic Physicians

Internal Medicine
Sleep Medicine

 
5207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

 
6207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

 
7208600000XAllopathic & Osteopathic Physicians

Surgery

 

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - PPO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - PPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

JENNIFER L JACKSON

Authorized Official Title
SENIOR DIRECTOR, ENROLLMENT
Authorized Official Phone
(877) 892-9815

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
NPI AND TINOTHER (01)NMBCBS
DA5509OTHER (01)NMRR MEDICARE
60806516MEDICAID (05)NM 
DD5451OTHER (01)NMRR MEDICARE

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
32D2006103
Facility Type
Physician Office
Certificate Effective Date
June 17, 2024
Certificate Expiration Date
June 16, 2026
Laboratory Director
BEVERLY WILLIAMS
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Roswell Clinic Corp in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for ROSWELL CLINIC CORP

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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 1649267618, we treat the final digit (8) 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

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
4
Doubled → 8
Pos 4
9
Unchanged
Pos 5
2
Doubled → 4
Pos 6
6
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
6
Unchanged
Pos 9
1
Doubled → 2
Check
8
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 4 → 8 2 → 4 7 → 14 → 5 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 8 + 9 + 4 + 6 + 1 + 4 + 6 + 2 + 24 = 72

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

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1649267618.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
350 W COUNTRY CLUB RD, SUITE 203
ROSWELL, NM 88201
Durable Medical Equipment & Medical Supplies
350 W COUNTRY CLUB RD, SUITE 103
ROSWELL, NM 88201
Durable Medical Equipment & Medical Supplies
350 W COUNTRY CLUB RD, SUITE 205
ROSWELL, NM 88201
Durable Medical Equipment & Medical Supplies
350 W COUNTRY CLUB RD, SUITE 201
ROSWELL, NM 88201
Urology
350 W COUNTRY CLUB RD, SUITE #205
ROSWELL, NM 88201
Obstetrics & Gynecology
350 W COUNTRY CLUB RD, STE# 203
ROSWELL, NM 88201
Obstetrics & Gynecology
350 W COUNTRY CLUB RD, SUITE 203
ROSWELL, NM 88201
Specialist
350 W COUNTRY CLUB RD, SUITE 205
ROSWELL, NM 88201
Obstetrics & Gynecology
350 W COUNTRY CLUB RD, SUITE 203
ROSWELL, NM 88201
Urology
350 W COUNTRY CLUB RD, SUITE#205
ROSWELL, NM 88201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649267618, enumerated as an "organization" on October 04, 2005.

The provider is located at 350 W COUNTRY CLUB RD STE 201 ROSWELL, NM 88201 and the phone number is (888) 801-5554.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.