DIAMONDHEAD FAMILY MEDICINE
NPI 1770620403
Family Medicine in Diamondhead, MS

NPI Status: Active since January 31, 2007

Contact Information

5435 GEX RD
DIAMONDHEAD, MS
ZIP 39525
Phone: (228) 255-4300
Fax: (228) 255-3626

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  • Organization
  • Family Medicine

About DIAMONDHEAD FAMILY MEDICINE

This page provides the complete NPI Profile along with additional information for Diamondhead Family Medicine, a primary care provider established in Diamondhead, Mississippi operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1770620403 assigned on January 2007. The practitioner's primary taxonomy code is 207Q00000X with license number 11771 (MS). The provider is registered as an organization and their NPI record was last updated 6 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 Diamondhead Family Medicine. The authorized official of this NPI record is Mrs. Chele M Walley (Billing Manager)

NPI
1770620403
Provider Legal Name
DAVID F. ROBERTS, MD
Other Organization Name
DIAMONDHEAD FAMILY MEDICINE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
5435 GEX RD DIAMONDHEAD, MS 39525
Location Phone
(228) 255-4300
Location Fax
(228) 255-3626
Mailing Address
PO BOX 6130 DIAMONDHEAD, MS 39525
Mailing Phone
(228) 255-4300
Mailing Fax
(228) 255-3626
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-31-2007
Last Update Date
08-22-2020
Code Navigator

A primary care provider (PCP) like Diamondhead Family Medicine sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
11771
License State
MS
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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.

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

MRS. CHELE M WALLEY

Authorized Official Title
BILLING MANAGER
Authorized Official Phone
(228) 255-4300

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
09015329MEDICAID (05)MS 

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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 1770620403, we treat the final digit (3) 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 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).

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

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 4 + 0 + 1 + 2 + 2 + 0 + 4 + 0 + 24 = 47

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

The next multiple of ten after 47 is 50. The difference is the calculated check digit.

50 - 47 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1770620403.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Clinic/Center (Multi-Specialty)
5435 GEX RD
DIAMONDHEAD, MS 39525
Internal Medicine
5435 GEX RD
DIAMONDHEAD, MS 39525

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770620403, enumerated as an "organization" on January 31, 2007.

The provider is located at 5435 GEX RD DIAMONDHEAD, MS 39525 and the phone number is (228) 255-4300.

Family Medicine with taxonomy code 207Q00000X.

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