SOUTHEASTERN UROLOGY, PC
NPI 1760023634
Urology in Dothan, AL

NPI Status: Active since October 02, 2019

Contact Information

4300 W MAIN ST STE 102
DOTHAN, AL
ZIP 36305
Phone: (334) 793-9564
Fax: (334) 671-8907

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  • Organization
  • Urology
  • CLIA Number: 01D0304806
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-05-2027

About SOUTHEASTERN UROLOGY, PC

This page provides the complete NPI Profile along with additional information for Southeastern Urology, Pc, a provider established in Dothan, Alabama operating as a Urology. The healthcare provider is registered in the NPI registry with number 1760023634 assigned on October 2019. The practitioner's primary taxonomy code is 208800000X. The provider is registered as an organization and their NPI record was last updated 7 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 Dr. Daniel Deighton Md (Owner)

NPI
1760023634
Provider Name
SOUTHEASTERN UROLOGY, PC
Entity Type
Organization
Location Address
4300 W MAIN ST STE 102 DOTHAN, AL 36305
Location Phone
(334) 793-9564
Location Fax
(334) 671-8907
Mailing Address
4300 W MAIN ST STE 102 DOTHAN, AL 36305
Mailing Phone
(334) 793-9564
Mailing Fax
(334) 671-8907
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-02-2019
Last Update Date
10-02-2019
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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

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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

DR. DANIEL DEIGHTON MD

Authorized Official Title
OWNER
Authorized Official Phone
(334) 793-9564

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
01D0304806
Facility Type
Physician Office
Certificate Effective Date
January 06, 2025
Certificate Expiration Date
January 05, 2027
Laboratory Director
DR. TED A. WILLIAMS
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Southeastern Urology, Pc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that 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 1760023634, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
6
Doubled → 12 → 1 + 2
Pos 4
0
Unchanged
Pos 5
0
Doubled → 0
Pos 6
2
Unchanged
Pos 7
3
Doubled → 6
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
4
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 6 → 12 → 3 0 → 0 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 + 1 + 2 + 0 + 0 + 2 + 6 + 6 + 6 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1760023634.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Nurse Practitioner
4300 W MAIN ST STE 102
DOTHAN, AL 36305
Clinical Medical Laboratory
4300 W MAIN ST STE 102
DOTHAN, AL 36305
Nurse Practitioner
4300 W MAIN ST STE 102
DOTHAN, AL 36305
Nurse Practitioner (Family)
4300 W MAIN ST STE 102
DOTHAN, AL 36305
Nurse Practitioner (Family)
4300 W MAIN ST STE 102
DOTHAN, AL 36305
Nurse Practitioner (Family)
4300 W MAIN ST STE 102
DOTHAN, AL 36305
Nurse Practitioner (Family)
4300 W MAIN ST STE 102
DOTHAN, AL 36305
Family Medicine
4300 W MAIN ST STE 102
DOTHAN, AL 36305
Internal Medicine (Interventional Cardiology)
4300 W MAIN ST STE 102
DOTHAN, AL 36305
Internal Medicine (Clinical Cardiac Electrophysiology)
4300 W MAIN ST STE 102
DOTHAN, AL 36305
Allergy & Immunology
4300 W MAIN ST STE 102
DOTHAN, AL 36305
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4300 W MAIN ST STE 102
DOTHAN, AL 36305

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760023634, enumerated as an "organization" on October 02, 2019.

The provider is located at 4300 W MAIN ST STE 102 DOTHAN, AL 36305 and the phone number is (334) 793-9564.

Urology with taxonomy code 208800000X.