DR SUMPTER D BLACKMON PA
NPI 1720153539
Clinic/Center in Camden, AL

NPI Status: Active since November 21, 2006

Contact Information

321 WHISKEY RUN RD
CAMDEN, AL
ZIP 36726
Phone: (334) 682-4128
Fax: (334) 682-9151

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  • Organization
  • Clinic/Center

About DR SUMPTER D BLACKMON PA

This page provides the complete NPI Profile along with additional information for Dr Sumpter D Blackmon Pa, a provider established in Camden, Alabama operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1720153539 assigned on November 2006. The practitioner's primary taxonomy code is 261Q00000X with license number 5754 (AL). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Dr. Sumpter Dudley Blackmon M.d. (President)

NPI
1720153539
Provider Name
DR SUMPTER D BLACKMON PA
Entity Type
Organization
Location Address
321 WHISKEY RUN RD CAMDEN, AL 36726
Location Phone
(334) 682-4128
Location Fax
(334) 682-9151
Mailing Address
PO BOX 699 CAMDEN, AL 36726
Mailing Phone
(334) 682-4128
Mailing Fax
(334) 682-9151
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-21-2006
Last Update Date
02-02-2010
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
5754
License State
AL
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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

DR. SUMPTER DUDLEY BLACKMON M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(334) 682-4128

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
000000454MEDICARE ID-TYPE UNSPECIFIED (04)AL 
000000454MEDICAID (05)AL 
C71994MEDICARE UPIN (02)AL 

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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 1720153539, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
7
Unchanged
Pos 3
2
Doubled → 4
Pos 4
0
Unchanged
Pos 5
1
Doubled → 2
Pos 6
5
Unchanged
Pos 7
3
Doubled → 6
Pos 8
5
Unchanged
Pos 9
3
Doubled → 6
Check
9
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 2 → 4 1 → 2 3 → 6 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 4 + 0 + 2 + 5 + 6 + 5 + 6 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1720153539.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Family Medicine
321 WHISKEY RUN RD
CAMDEN, AL 36726
Social Worker (Clinical)
321 WHISKEY RUN RD
CAMDEN, AL 36726
Family Medicine
321 WHISKEY RUN RD
CAMDEN, AL 36726
Clinic/Center (Primary Care)
321 WHISKEY RUN RD
CAMDEN, AL 36726

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720153539, enumerated as an "organization" on November 21, 2006.

The provider is located at 321 WHISKEY RUN RD CAMDEN, AL 36726 and the phone number is (334) 682-4128.

Clinic/Center with taxonomy code 261Q00000X.

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