ST. PAULS MEDICAL CLINIC
NPI 1750518692
Clinic/Center in Saint Pauls, NC

NPI Status: Active since June 18, 2009

Contact Information

128 E BROAD ST
SAINT PAULS, NC
ZIP 28384
Phone: (910) 865-5955
Fax: (910) 738-3764

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  • Organization
  • Clinic/Center

About ST. PAULS MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for St. Pauls Medical Clinic, a provider established in Saint Pauls, North Carolina operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1750518692 assigned on June 2009. The practitioner's primary taxonomy code is 261Q00000X with license number H0064 (NC). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as St. Pauls Medical Clinic. The authorized official of this NPI record is Charles T. Johnson Iii (Cfo)

NPI
1750518692
Provider Legal Name
SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Other Organization Name
ST. PAULS MEDICAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
128 E BROAD ST SAINT PAULS, NC 28384
Location Phone
(910) 865-5955
Location Fax
(910) 738-3764
Mailing Address
2600 N ELM ST LUMBERTON, NC 28358
Mailing Phone
(910) 272-3051
Mailing Fax
(910) 738-3764
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-18-2009
Last Update Date
06-18-2009
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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.
H0064
License State
NC
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).

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

CHARLES T. JOHNSON III

Authorized Official Title
CFO
Authorized Official Phone
(910) 671-5090

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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 1750518692, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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
5
Doubled → 10 → 1 + 0
Pos 4
0
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
2
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 5 → 10 → 1 5 → 10 → 1 8 → 16 → 7 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 0 + 0 + 1 + 0 + 1 + 1 + 6 + 6 + 1 + 8 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1750518692.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Clinic/Center (Rural Health)
128 E BROAD ST
SAINT PAULS, NC 28384
Clinic/Center (Rural Health)
128 E BROAD ST
SAINT PAULS, NC 28384
Clinic/Center (Federally Qualified Health Center (FQHC))
128 E BROAD ST
SAINT PAULS, NC 28384
Physician Assistant
128 E BROAD ST
SAINT PAULS, NC 28384
Social Worker (Clinical)
128 E BROAD ST
SAINT PAULS, NC 28384
Physician Assistant (Medical)
128 E BROAD ST
SAINT PAULS, NC 28384
Social Worker (Clinical)
128 E BROAD ST
SAINT PAULS, NC 28384
Nurse Practitioner (Gerontology)
128 E BROAD ST
SAINT PAULS, NC 28384

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750518692, enumerated as an "organization" on June 18, 2009.

The provider is located at 128 E BROAD ST SAINT PAULS, NC 28384 and the phone number is (910) 865-5955.

Clinic/Center with taxonomy code 261Q00000X.