PREMIER REHAB
NPI 1790921724
Clinic/Center in Tougaloo, MS

NPI Status: Active since December 22, 2008

Contact Information

500 WEST COUNTYLINE RD
TOUGALOO, MS
ZIP 39174
Phone: (601) 636-6019
Fax: (601) 661-8457

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  • Organization
  • Clinic/Center

About PREMIER REHAB

This page provides the complete NPI Profile along with additional information for Premier Rehab, a provider established in Tougaloo, Mississippi operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1790921724 assigned on December 2008. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Terrance D Nickens Pt (Owner)

NPI
1790921724
Provider Name
PREMIER REHAB
Entity Type
Organization
Location Address
500 WEST COUNTYLINE RD TOUGALOO, MS 39174
Location Phone
(601) 636-6019
Location Fax
(601) 661-8457
Mailing Address
PO BOX 16569 JACKSON, MS 39236
Mailing Phone
(601) 636-6019
Mailing Fax
(601) 661-8457
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-22-2008
Last Update Date
12-22-2008
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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

TERRANCE D NICKENS PT

Authorized Official Title
OWNER
Authorized Official Phone
(601) 636-6019

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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 1790921724, 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 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
9
Doubled → 18 → 1 + 8
Pos 4
0
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
2
Unchanged
Pos 7
1
Doubled → 2
Pos 8
7
Unchanged
Pos 9
2
Doubled → 4
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 9 → 18 → 9 9 → 18 → 9 1 → 2 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 8 + 0 + 1 + 8 + 2 + 2 + 7 + 4 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1790921724.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790921724, enumerated as an "organization" on December 22, 2008.

The provider is located at 500 WEST COUNTYLINE RD TOUGALOO, MS 39174 and the phone number is (601) 636-6019.

Clinic/Center with taxonomy code 261Q00000X.