MR. JERAMY C. WILLIS KCSA
NPI 1780867473
Physician Assistant - Surgical in Bowling Green, KY
NPI Status: Active since December 17, 2007
Contact Information
1945 SCOTTSVILLE RD
B2 PMB 397
BOWLING GREEN, KY
ZIP 42104
Phone: (270) 781-4828
Fax: (270) 781-4828
- Individual
- Male
- Physician Assistant
- Surgical
About JERAMY WILLIS
This page provides the complete NPI Profile along with additional information for Jeramy Willis, a provider established in Bowling Green, Kentucky with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1780867473 assigned on December 2007. The practitioner's primary taxonomy code is 363AS0400X with license number SA164 (KY). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1780867473
- Provider Name
- MR. JERAMY C. WILLIS KCSA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1945 SCOTTSVILLE RD B2 PMB 397 BOWLING GREEN, KY 42104
- Location Phone
- (270) 781-4828
- Location Fax
- (270) 781-4828
- Mailing Address
- 1945 SCOTTSVILLE RD. B2 PMB 397 BOWLING GREEN, KY 42104
- Mailing Phone
- (270) 781-4828
- Mailing Fax
- (270) 781-4828
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-17-2007
- Last Update Date
- 12-17-2007
- Code Navigator
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
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- SA164
- License State
- KY
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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 1780867473, 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 12 providers are registered at the same or a nearby location.
BOWLING GREEN, KY 42104
BOWLING GREEN, KY 42104
BOWLING GREEN, KY 42104
BOWLING GREEN, KY 42104
BOWLING GREEN, KY 42104
BOWLING GREEN, KY 42104
BOWLING GREEN, KY 42104
BOWLING GREEN, KY 42104
BOWLING GREEN, KY 42104
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780867473, enumerated as an "individual" on December 17, 2007.
The provider is located at 1945 SCOTTSVILLE RD B2 PMB 397 BOWLING GREEN, KY 42104 and the phone number is (270) 781-4828.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.
