RIDGEVIEW ELEMENTRY
NPI 1750650875
Pediatrics - Developmental - Behavioral Pediatrics in Gray, TN

NPI Status: Active since December 19, 2011

Contact Information

252 SAM JENKINS RD
ATTN: DR. H. PATRICK STERN
GRAY, TN
ZIP 37615
Phone: (423) 283-3060
Fax: (423) 283-7441

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  • Organization
  • Pediatrics
  • Developmental - Behavioral Pediatrics
  • CLIA Number: 44D2171876
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 09-09-2027

About RIDGEVIEW ELEMENTRY

This page provides the complete NPI Profile along with additional information for Ridgeview Elementry, a pediatrician established in Gray, Tennessee operating as a Pediatrics, focusing in developmental - behavioral pediatrics . The healthcare provider is registered in the NPI registry with number 1750650875 assigned on December 2011. The practitioner's primary taxonomy code is 2080P0006X with license number 31588 (TN). The provider is registered as an organization and their NPI record was last updated 8 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 provider's other name is Ridgeview Elementry. The authorized official of this NPI record is Mr. Russell E Lewis (Executive Director)

NPI
1750650875
Provider Legal Name
MEDICAL EDUCATION ASSISTANCE CORPORATION
Other Organization Name
RIDGEVIEW ELEMENTRY
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
252 SAM JENKINS RD ATTN: DR. H. PATRICK STERN GRAY, TN 37615
Location Phone
(423) 283-3060
Location Fax
(423) 283-7441
Mailing Address
PO BOX 2204 JOHNSON CITY, TN 37605
Mailing Phone
(423) 433-6050
Mailing Fax
(423) 283-7441
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-19-2011
Last Update Date
08-22-2018
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A pediatrician like Ridgeview Elementry 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 Developmental - Behavioral Pediatrics

Taxonomy Code
2080P0006X
Type
Allopathic & Osteopathic Physicians
License No.
31588
License State
TN
Taxonomy Description
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

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.

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

MR. RUSSELL E LEWIS

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(423) 433-6050

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
44D2171876
Facility Type
School/Student Health Service
Certificate Effective Date
September 10, 2025
Certificate Expiration Date
September 09, 2027
Laboratory Director
ANASTASIA C. BROWN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ridgeview Elementry to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1750650875, 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 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.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
0
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
5
Unchanged
Pos 7
0
Doubled → 0
Pos 8
8
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
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 6 → 12 → 3 0 → 0 7 → 14 → 5

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 + 2 + 5 + 0 + 8 + 1 + 4 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1750650875.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750650875, enumerated as an "organization" on December 19, 2011.

The provider is located at 252 SAM JENKINS RD ATTN: DR. H. PATRICK STERN GRAY, TN 37615 and the phone number is (423) 283-3060.

Pediatrics with taxonomy code 2080P0006X and a focus in Developmental - Behavioral Pediatrics.