SHMG ENDOCRINOLOGY AT FWB
NPI 1669148615
Internal Medicine - Endocrinology, Diabetes & Metabolism in Fort Walton Beach, FL
NPI Status: Active since August 19, 2021
Contact Information
1025 BEAL PKWY NW STE D
FORT WALTON BEACH, FL
ZIP 32547
Phone: (850) 278-3490
- Organization
- Internal Medicine
- Endocrinology, Diabetes & Metabolism
- CLIA Number: 10D1080692
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 03-16-2026
About SHMG ENDOCRINOLOGY AT FWB
This page provides the complete NPI Profile along with additional information for Shmg Endocrinology At Fwb, an internist established in Fort Walton Beach, Florida operating as a Internal Medicine, focusing in endocrinology, diabetes & metabolism . The healthcare provider is registered in the NPI registry with number 1669148615 assigned on August 2021. The practitioner's primary taxonomy code is 207RE0101X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Shmg Endocrinology At Fwb operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Shmg Endocrinology At Fwb. The authorized official of this NPI record is Jean Vallier (Director)
- NPI
- 1669148615
- Provider Legal Name
- ASCENSION MEDICAL GROUP SACRED HEART
- Other Organization Name
- SHMG ENDOCRINOLOGY AT FWB
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 1025 BEAL PKWY NW STE D FORT WALTON BEACH, FL 32547
- Location Phone
- (850) 278-3490
- Mailing Address
- 4205 BELFORT RD STE 4015 JACKSONVILLE, FL 32216
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-19-2021
- Last Update Date
- 08-20-2021
- Code Navigator
An internist like Shmg Endocrinology At Fwb is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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
Internal Medicine Endocrinology, Diabetes & Metabolism
- Taxonomy Code
- 207RE0101X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
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.
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
- 10D1080692
- Facility Type
- Hospital
- Certificate Effective Date
- March 17, 2024
- Certificate Expiration Date
- March 16, 2026
- Laboratory Director
- DR. ANNE BERNSTEIN
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Shmg Endocrinology At Fwb 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 1669148615, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
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 65 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669148615, enumerated as an "organization" on August 19, 2021.
The provider is located at 1025 BEAL PKWY NW STE D FORT WALTON BEACH, FL 32547 and the phone number is (850) 278-3490.
Internal Medicine with taxonomy code 207RE0101X and a focus in Endocrinology, Diabetes & Metabolism.
