MARTIN PEDIATRIC AND ADOLESCENT CLINIC, PC
NPI 1649314501
Pediatrics - Adolescent Medicine in Martin, TN

NPI Status: Active since February 16, 2007

Contact Information

142 MOUNT PELIA RD
MARTIN, TN
ZIP 38237
Phone: (731) 587-9542

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  • Organization
  • Pediatrics
  • Adolescent Medicine

About MARTIN PEDIATRIC AND ADOLESCENT CLINIC, PC

This page provides the complete NPI Profile along with additional information for Martin Pediatric And Adolescent Clinic, Pc, a pediatrician established in Martin, Tennessee operating as a Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1649314501 assigned on February 2007. The practitioner's primary taxonomy code is 2080A0000X with license number MD 18562 (TN). The provider is registered as an organization and their NPI record was last updated 19 years 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 authorized official of this NPI record is Barbara Roberts (Office Manager)

NPI
1649314501
Provider Name
MARTIN PEDIATRIC AND ADOLESCENT CLINIC, PC
Entity Type
Organization
Location Address
142 MOUNT PELIA RD MARTIN, TN 38237
Location Phone
(731) 587-9542
Mailing Address
142 MOUNT PELIA RD MARTIN, TN 38237
Mailing Phone
(731) 587-9542
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-16-2007
Last Update Date
07-11-2007
Code Navigator

A pediatrician like Martin Pediatric And Adolescent Clinic, Pc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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

Pediatrics Adolescent Medicine

Taxonomy Code
2080A0000X
Type
Allopathic & Osteopathic Physicians
License No.
MD 18562
License State
TN
Taxonomy Description
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Group Taxonomy 193400000X 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.

Insurance Plans Accepted

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

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

BARBARA ROBERTS

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(731) 587-9542

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
3727836MEDICAID (05)TN 

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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 1649314501, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

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
3
Doubled → 6
Pos 6
1
Unchanged
Pos 7
4
Doubled → 8
Pos 8
5
Unchanged
Pos 9
0
Doubled → 0
Check
1
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 3 → 6 4 → 8 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 8 + 9 + 6 + 1 + 8 + 5 + 0 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1649314501.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Pediatrics (Adolescent Medicine)
142 MOUNT PELIA RD
MARTIN, TN 38237

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649314501, enumerated as an "organization" on February 16, 2007.

The provider is located at 142 MOUNT PELIA RD MARTIN, TN 38237 and the phone number is (731) 587-9542.

Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.