SIMPLY HEALTHCARE PLLC
NPI 1780456640
Nurse Practitioner - Gerontology in Oxford, NC

NPI Status: Active since October 24, 2023

Contact Information

615 LEWIS ST STE 200C
OXFORD, NC
ZIP 27565
Phone: (919) 482-6553

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  • Organization
  • Nurse Practitioner
  • Gerontology
  • CLIA Number: 34D2298107
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-28-2026

About SIMPLY HEALTHCARE PLLC

This page provides the complete NPI Profile along with additional information for Simply Healthcare Pllc, a provider established in Oxford, North Carolina operating as a Nurse Practitioner, focusing in gerontology . The healthcare provider is registered in the NPI registry with number 1780456640 assigned on October 2023. The practitioner's primary taxonomy code is 363LG0600X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Kelly Gentry (Ceo)

NPI
1780456640
Provider Name
SIMPLY HEALTHCARE PLLC
Entity Type
Organization
Location Address
615 LEWIS ST STE 200C OXFORD, NC 27565
Location Phone
(919) 482-6553
Mailing Address
615 LEWIS ST STE 200C OXFORD, NC 27565
Mailing Phone
(919) 482-6553
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-24-2023
Last Update Date
10-24-2023
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A nurse practitioner (NP) like Simply Healthcare Pllc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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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

Nurse Practitioner Gerontology

Taxonomy Code
363LG0600X
Type
Physician Assistants & Advanced Practice Nursing Providers

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

KELLY GENTRY

Authorized Official Title
CEO
Authorized Official Phone
(919) 482-6553

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
34D2298107
Facility Type
Physician Office
Certificate Effective Date
January 29, 2024
Certificate Expiration Date
January 28, 2026
Laboratory Director
KELLY L. GENTRY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Simply Healthcare Pllc 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 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.
1780456640
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27160851268
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 6 + 0 + 8 + 5 + 1 + 2 + 6 + 8 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1780456640 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780456640, enumerated as an "organization" on October 24, 2023.

The provider is located at 615 LEWIS ST STE 200C OXFORD, NC 27565 and the phone number is (919) 482-6553.

Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.