ANTHONY JEROME NIX JR. M.D.
NPI 1770874695
Family Medicine in Sylacauga, AL


Quality Rating: 100 out of 100 score

NPI Status: Active since April 26, 2011

Contact Information

209 W SPRING ST
SUITE 100
SYLACAUGA, AL
ZIP 35150
Phone: (256) 401-4686
Fax: (256) 401-4694

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  • Individual
  • Male
  • Years of Experience 13
  • Family Medicine
  • PECOS Enrolled
  • Accepts Medicare Approved Payment
  • Medicare Quality Reporting

About ANTHONY NIX

Anthony Nix is a primary care provider established in Sylacauga, Alabama and his medical specialization is Family Medicine with more than 13 years of experience. He graduated from University Of South Alabama College Of Medicine in 2011. The healthcare provider is registered in the NPI registry with number 1770874695 assigned on April 2011. The practitioner's primary taxonomy code is 207Q00000X with license number L.3478R (AL). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1770874695
Provider Name
ANTHONY JEROME NIX JR. M.D.
Gender
Male
Entity Type
Individual
Location Address
209 W SPRING ST SUITE 100 SYLACAUGA, AL 35150
Location Phone
(256) 401-4686
Location Fax
(256) 401-4694
Mailing Address
315 W HICKORY ST SYLACAUGA, AL 35150
Mailing Phone
(256) 207-0209
Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduation Year
2011
Is Sole Proprietor?
No
Enumeration Date
04-26-2011
Last Update Date
07-22-2014
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A primary care provider (PCP) like Anthony Nix 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

Anthony Nix is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 100, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The following quality measures were reported for this provider: breast cancer screening, care plan, colorectal cancer screening, documentation of current medications in the medical record, engagement of new medicaid patients and follow-up, e-prescribing, health information exchange, immunization registry reporting, implementation of improvements that contribute to more timely communication of test results, implementation of medication management practice improvements, medication reconciliation, pain assessment and follow-up, patient-specific education, pneumococcal vaccination status for older adults, preventive care and screening: body mass index (bmi) screening and follow-up plan, preventive care and screening: tobacco use: screening and cessation intervention, preventive care and screening: unhealthy alcohol use: screening & brief counseling, provide patient access, secure messaging, security risk analysis and use of certified ehr to capture patient reported outcomes.

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.48 for a new patient copayment and $24.83 for an established patient copayment.

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.
L.3478R
License State
AL
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross and Blue Shield of Alabama

    • Blue Cross Select Gold - PPO
    • Blue Cross Select Silver - PPO
    • Blue HSA Bronze - PPO
    • Blue Protect - PPO
    • Blue Saver Bronze - PPO
    • Blue Standardized Bronze - PPO
    • Blue Standardized Gold - PPO
    • Blue Standardized Silver - PPO
    • Blue Value Gold - PPO
    • Blue Value Silver - PPO
    • Blue Access Gold for Business - PPO
    • Blue Choice Platinum for Business - PPO
    • Blue HSA Silver for Business - PPO
    • Blue Saver Bronze for Business - PPO
    • Blue Saver Gold for Business - PPO
    • Blue Secure Gold for Business - PPO
    • Blue Secure Silver for Business - PPO
  • UnitedHealthcare

    • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, No Referrals) - EPO
    • UHC Bronze Essential ($0 Virtual Urgent Care, $0 Insulin, No Referrals) - EPO
    • UHC Bronze Standard (No Referrals) - EPO
    • UHC Bronze Value ($0 Virtual Urgent Care + $0 PCP Visits, $5 Tier 2 Rx, $0 Insulin, No Referrals) - EPO
    • UHC Bronze Value HSA (No Referrals) - EPO
    • UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) - EPO
    • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, $0 Insulin, No Referrals) - EPO
    • UHC Gold Standard (No Referrals) - EPO
    • UHC Gold Value ($0 Virtual Urgent Care + $0 PCP Visits, $1 Tier 2 Rx, $0 Insulin, No Referrals) - EPO
    • UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals) - EPO
    • UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) - EPO
    • UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, No Referrals) - EPO
    • UHC Silver Standard (No Referrals) - EPO
    • UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, $0 Insulin, No Referrals) - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

PECOS Enrollment and Medicare Participation Status

Anthony Nix is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6002055530

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20130613000469

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • Other DME (D1E)

    Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)

    13 DME suppliers used 68 Medicare Claims 212 Services Paid

  • Other DME (D1E)

    Lancets, per box of 100 (HCPCS:A4259)

    10 DME suppliers used 31 Medicare Claims 49 Services Paid

  • Hospital beds (D1B)

    Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress (HCPCS:E0260)

    2 DME suppliers used 11 Medicare Claims 11 Services Paid

  • Oxygen and supplies (D1C)

    Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)

    2 DME suppliers used 19 Medicare Claims 19 Services Paid

  • Other DME (D1E)

    Iv pole (HCPCS:E0776)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

  • Oxygen and supplies (D1C)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    2 DME suppliers used 39 Medicare Claims 39 Services Paid

  • Oxygen and supplies (D1C)

    Portable oxygen concentrator, rental (HCPCS:E1392)

    1 DME suppliers used 19 Medicare Claims 19 Services Paid

  • Wheelchairs (D1D)

    Standard wheelchair (HCPCS:K0001)

    1 DME suppliers used 22 Medicare Claims 22 Services Paid

Prosthetic and Orthotic Devices

  • Prosthetic/Orthotic devices (D1F)

    Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each (HCPCS:A4357)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

  • Prosthetic/Orthotic devices (D1F)

    Skin barrier; solid, 4 x 4 or equivalent; each (HCPCS:A4362)

    1 DME suppliers used 12 Medicare Claims 240 Services Paid

  • Prosthetic/Orthotic devices (D1F)

    Ostomy skin barrier, powder, per oz (HCPCS:A4371)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

  • Prosthetic/Orthotic devices (D1F)

    Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each (HCPCS:A4430)

    1 DME suppliers used 12 Medicare Claims 333 Services Paid

Drugs and Nutritional Products

  • Enteral and parenteral (O1C)

    Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape (HCPCS:B4034)

    1 DME suppliers used 11 Medicare Claims 330 Services Paid

  • Enteral and parenteral (O1C)

    Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape (HCPCS:B4035)

    2 DME suppliers used 13 Medicare Claims 395 Services Paid

  • Enteral and parenteral (O1C)

    Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit (HCPCS:B4152)

    1 DME suppliers used 12 Medicare Claims 5039 Services Paid

  • Enteral and parenteral (O1C)

    Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit (HCPCS:B4154)

    1 DME suppliers used 12 Medicare Claims 5124 Services Paid

  • Other drugs (O1E)

    Pharmacy dispensing fee for inhalation drug(s); per 30 days (HCPCS:Q0513)

    3 DME suppliers used 12 Medicare Claims 12 Services Paid

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 35150 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $85.95
  • Minimum New Patient Price $55.54
  • Maximum New Patient Price $170.61
  • Average New Patient Copayment $21.48
  • Minimum New Patient Copayment $13.88
  • Maximum New Patient Copayment $42.65

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $99.33
  • Minimum Established Patient Price $16.93
  • Maximum Established Patient Price $139.08
  • Average Established Patient Copayment $24.83
  • Minimum Established Patient Copayment $4.23
  • Maximum Established Patient Copayment $34.77

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 100 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 100

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Quality Reporting

The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Breast Cancer Screening 47% 454
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
Care Plan 100% 556
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan
Colorectal Cancer Screening 1% 922
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
Documentation of Current Medications in the Medical Record 100% 4225
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
Engagement of New Medicaid Patients and Follow-upYesN/A
Seeing new and follow-up Medicaid patients in a timely manner, including individuals dually eligible for Medicaid and Medicare. A timely manner is defined as within 10 business days for this activity.
e-Prescribing 86% 3991
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Health Information Exchange 12% 258
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral.
Immunization Registry ReportingYesN/A
The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data.
Implementation of improvements that contribute to more timely communication of test resultsYesN/A
Timely communication of test results defined as timely identification of abnormal test results with timely follow-up.
Implementation of medication management practice improvementsYesN/A
Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews.
Medication Reconciliation 100% 25
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
Pain Assessment and Follow-Up 0% 4115
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
Patient-Specific Education 28% 820
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Pneumococcal Vaccination Status for Older Adults 50% 556
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 18% 1716
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 19% 287
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 88% 1273
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
Provide Patient Access 86% 820
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Secure Messaging 39% 820
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period.
Security Risk AnalysisYesN/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.
Use of certified EHR to capture patient reported outcomesYesN/A
In support of improving patient access, performing additional activities that enable capture of patient reported outcomes (e.g., home blood pressure, blood glucose logs, food diaries, at-risk health factors such as tobacco or alcohol use, etc.) or patient activation measures through use of certified EHR technology, containing this data in a separate queue for clinician recognition and review.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 264

    Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)

  • 205

    Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)

  • 105

    Administration of influenza virus vaccine (HCPCS:G0008)

  • 69

    Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)

  • 62

    Urinalysis, manual test (HCPCS:81002)

  • 27

    Administration of pneumococcal vaccine (HCPCS:G0009)

  • 17

    Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Anthony Nix is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
COOSA VALLEY MEDICAL CENTER315 W HICKORY ST
SYLACAUGA, AL 35150
(256) 249-5000Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1770874695
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271401678618
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 1 + 6 + 7 + 8 + 6 + 1 + 8 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1770874695 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184669483CRADDOCK HEALTH CENTER P C
Organization
Internal Medicine209 W SPRING ST SUITE 200
SYLACAUGA, AL 35150
(256) 245-5241
1285648048MR. WALTER P PINSON M.D.
Individual
Internal Medicine209 W SPRING ST SUITE 200
SYLACAUGA, AL 35150
(256) 245-5241
1689688111DR. STEPHEN R BOWEN PH.D., M.D.
Individual
Internal Medicine209 W SPRING ST SUITE 200
SYLACAUGA, AL 35150
(256) 245-5241
1780698225DR. LAURA G DEICHMANN M.D.
Individual
Internal Medicine209 W SPRING ST SUITE 200
SYLACAUGA, AL 35150
(256) 245-5241
1073527826DR. MOHAMED AMMAR ALDAHER M.D.
Individual
Internal Medicine209 W SPRING ST SUITE 200
SYLACAUGA, AL 35150
(256) 245-5241
1093725624MR. IMAD KHDAIR MD
Individual
Internal Medicine209 W SPRING ST SUITE 200
SYLACAUGA, AL 35150
(256) 245-5241
1861503831MRS. TERESA K PAYTON PT
Individual
Physical Therapist209 W SPRING ST SUITE 302
SYLACAUGA, AL 35150
(256) 249-2249
1356531099COOSA VALLEY PEDIATRICS
Organization
Pediatrics209 W SPRING ST SUITE 304
SYLACAUGA, AL 35150
(256) 208-0060
1306071550MR. WILLIAM THOMAS WRIGHT MSSW, LCSW
Individual
Social Worker (Clinical)209 W SPRING ST SUITE 304
SYLACAUGA, AL 35150
(256) 401-4695
1962790816ORTHOSPORTS ASSOCIATES, LLC
Organization
Orthopaedic Surgery209 W SPRING ST SUITE 301
SYLACAUGA, AL 35150
(205) 249-2249
1861596090 RENEE S DAVIS M.D.
Individual
Family Medicine209 W SPRING ST SUITE 102
SYLACAUGA, AL 35150
(256) 401-4686
1205923554 CLAYTON H. DAVIS M.D.
Individual
Family Medicine209 W SPRING ST SUITE 102
SYLACAUGA, AL 35150
(256) 401-4686
1083014658PATHWAY PEDIATRICS, INC.
Organization
Pediatrics209 W SPRING ST SUITE 300
SYLACAUGA, AL 35150
(256) 208-0060
1912049420DR. LESLIE ROBINSON SAWYER M.D.
Individual
Pediatrics209 W SPRING ST SUITE 300
SYLACAUGA, AL 35150
(256) 208-0060
1821101320HEMATOLOGY AND ONCOLOGY ASSOCIATES OF ALABAMA, LLC
Organization
Internal Medicine (Hematology & Oncology)209 W SPRING ST SUITE 303
SYLACAUGA, AL 35150
(256) 401-0417
1073904561MS. LAURA TUBBS CRNP
Individual
Nurse Practitioner (Pediatrics)209 W SPRING ST #300
SYLACAUGA, AL 35150
(256) 208-0060
1790773380DR. ALICE MANSELL HARDY M.D.
Individual
Pediatrics209 W SPRING ST SUITE 300
SYLACAUGA, AL 35150
(256) 208-0060
1912135542TROPEANO ORTHOPAEDICS AND SPORTS MEDICINE
Organization
Orthopaedic Surgery (Sports Medicine)209 W SPRING ST SUITE 301
SYLACAUGA, AL 35150
(256) 208-0118
1003261033 KRISTEN LAWHORN CRNP
Individual
Nurse Practitioner (Primary Care)209 W SPRING ST SUITE 300
SYLACAUGA, AL 35150
(256) 208-0060
1588691224 MICHAEL G MARTIN M.D.
Individual
Orthopaedic Surgery209 W SPRING ST SUITE 302
SYLACAUGA, AL 35150
(256) 249-2249

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770874695, enumerated in the NPI registry as an "individual" on April 26, 2011

The provider is located at 209 W Spring St Suite 100 Sylacauga, Al 35150 and the phone number is (256) 401-4686

The provider's speciality is Family Medicine with taxonomy code 207Q00000X

The provider has more than 13 years of experience. He graduated from University Of South Alabama College Of Medicine in 2011.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 11, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.

Medicare beneficiaries should expect a typical cost of $85.95 with an average copayment of $21.48 for new patient appointments. Established patients should expect a typical charge of $99.33 and an average copayment of 24.83. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Injection beneath the skin or into muscle for therapy, diagnosis, or prevention, Administration of influenza virus vaccine, Injection, dexamethasone sodium phosphate, 1 mg, Urinalysis, manual test, Administration of pneumococcal vaccine and Routine ekg using at least 12 leads including interpretation and report.

The practitioner is affiliated to the following hospital(s): COOSA VALLEY MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on April 26, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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