EVERGREEN INTERNAL MEDICINE PLLC
NPI 1801017595
Clinic/Center - Primary Care in Little Rock, AR

NPI Status: Active since May 01, 2007

Contact Information

1100 N UNIVERSITY AVE
SUITE 125
LITTLE ROCK, AR
ZIP 72207
Phone: (501) 664-1540

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  • Organization
  • Clinic/Center
  • Primary Care

About EVERGREEN INTERNAL MEDICINE PLLC

This page provides the complete NPI Profile along with additional information for Evergreen Internal Medicine Pllc, a primary care provider established in Little Rock, Arkansas operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1801017595 assigned on May 2007. The practitioner's primary taxonomy code is 261QP2300X. 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 Dr. Robert A Henry M.d. (Managing Member)

NPI
1801017595
Provider Name
EVERGREEN INTERNAL MEDICINE PLLC
Entity Type
Organization
Location Address
1100 N UNIVERSITY AVE SUITE 125 LITTLE ROCK, AR 72207
Location Phone
(501) 664-1540
Mailing Address
1100 N UNIVERSITY AVE SUITE 125 LITTLE ROCK, AR 72207
Mailing Phone
(501) 664-1540
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-01-2007
Last Update Date
10-21-2009
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A primary care provider (PCP) like Evergreen Internal Medicine Pllc 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

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities

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

DR. ROBERT A HENRY M.D.

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(501) 664-1540

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
5C418MEDICARE ID-TYPE UNSPECIFIED (04)AR 

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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 1801017595, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
8
Unchanged
Pos 3
0
Doubled → 0
Pos 4
1
Unchanged
Pos 5
0
Doubled → 0
Pos 6
1
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
5
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
5
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 0 → 0 0 → 0 7 → 14 → 5 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 0 + 1 + 0 + 1 + 1 + 4 + 5 + 1 + 8 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1801017595.

Other Providers at the Same Location


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

Internal Medicine
1100 N UNIVERSITY AVE, SUITE 1
LITTLE ROCK, AR 72207
Social Worker (Clinical)
1100 N UNIVERSITY AVE, SUITE 133
LITTLE ROCK, AR 72207
Counselor (Professional)
1100 N UNIVERSITY AVE, SUITE 133
LITTLE ROCK, AR 72207
Social Worker (Clinical)
1100 N UNIVERSITY AVE, SUITE 133
LITTLE ROCK, AR 72207
Pediatrics (Pediatric Cardiology)
1100 N UNIVERSITY AVE, SUITE #142
LITTLE ROCK, AR 72207
Family Medicine
1100 N UNIVERSITY AVE, SUITE 1
LITTLE ROCK, AR 72207
Counselor (Mental Health)
1100 N UNIVERSITY AVE, SUITE 149
LITTLE ROCK, AR 72207
Social Worker (Clinical)
1100 N UNIVERSITY AVE, SUITE 133
LITTLE ROCK, AR 72207
Durable Medical Equipment & Medical Supplies
1100 N UNIVERSITY AVE, STE 130
LITTLE ROCK, AR 72207
Chiropractor
1100 N UNIVERSITY AVE, SUITE 108
LITTLE ROCK, AR 72207
General Practice
1100 N UNIVERSITY AVE, STE 260
LITTLE ROCK, AR 72207
Internal Medicine
1100 N UNIVERSITY AVE, SUITE 1
LITTLE ROCK, AR 72207
Clinic/Center (Federally Qualified Health Center (FQHC))
1100 N UNIVERSITY AVE, SUITE 125
LITTLE ROCK, AR 72207
Case Manager/Care Coordinator
1100 N UNIVERSITY AVE, SUITE 200
LITTLE ROCK, AR 72207
Psychologist (Clinical)
1100 N UNIVERSITY AVE, SUITE 200
LITTLE ROCK, AR 72207
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
1100 N UNIVERSITY AVE, SUITE 200
LITTLE ROCK, AR 72207
Registered Nurse (Psychiatric/Mental Health)
1100 N UNIVERSITY AVE, SUITE 200
LITTLE ROCK, AR 72207
Case Manager/Care Coordinator
1100 N UNIVERSITY AVE, EVERGREEN PLACE SUITE 200
LITTLE ROCK, AR 72207
Acupuncturist
1100 N UNIVERSITY AVE, SUITE 137
LITTLE ROCK, AR 72207
Case Manager/Care Coordinator
1100 N UNIVERSITY AVE, 200
LITTLE ROCK, AR 72207

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801017595, enumerated as an "organization" on May 01, 2007.

The provider is located at 1100 N UNIVERSITY AVE SUITE 125 LITTLE ROCK, AR 72207 and the phone number is (501) 664-1540.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

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