LINCOLN MEDICAL CENTER CARDIOLOGY CLINIC
NPI 1811165616
Specialist in Fayetteville, TN

NPI Status: Active since February 14, 2008

Contact Information

108 MEDICAL CENTER BLVD
SUITE 125
FAYETTEVILLE, TN
ZIP 37334
Phone: (931) 438-7482
Fax: (931) 438-7447

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  • Organization
  • Specialist
  • CLIA Number: 44D0964824
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 09-02-2027

About LINCOLN MEDICAL CENTER CARDIOLOGY CLINIC

This page provides the complete NPI Profile along with additional information for Lincoln Medical Center Cardiology Clinic, a provider established in Fayetteville, Tennessee operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1811165616 assigned on February 2008. The practitioner's primary taxonomy code is 174400000X with license number 21295 (TN). The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Davie R Groce Cfo (Cfo Lincoln County Health System)

NPI
1811165616
Provider Name
LINCOLN MEDICAL CENTER CARDIOLOGY CLINIC
Entity Type
Organization
Location Address
108 MEDICAL CENTER BLVD SUITE 125 FAYETTEVILLE, TN 37334
Location Phone
(931) 438-7482
Location Fax
(931) 438-7447
Mailing Address
108 MEDICAL CENTER BLVD SUITE 125 FAYETTEVILLE, TN 37334
Mailing Phone
(931) 438-7482
Mailing Fax
(931) 438-7447
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-14-2008
Last Update Date
07-21-2022
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
21295
License State
TN
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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

MR. DAVIE R GROCE CFO

Authorized Official Title
CFO LINCOLN COUNTY HEALTH SYSTEM
Authorized Official Phone
(931) 438-1100

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
44D0964824
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 03, 2025
Certificate Expiration Date
September 02, 2027
Laboratory Director
LARRY BARNES
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Lincoln Medical Center Cardiology Clinic 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 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 1811165616, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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
1
Doubled → 2
Pos 4
1
Unchanged
Pos 5
1
Doubled → 2
Pos 6
6
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
6
Unchanged
Pos 9
1
Doubled → 2
Check
6
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 1 → 2 1 → 2 5 → 10 → 1 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 2 + 1 + 2 + 6 + 1 + 0 + 6 + 2 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1811165616.

Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

Family Medicine
108 MEDICAL CENTER BLVD, SUITE G-50
FAYETTEVILLE, TN 37334
Orthopaedic Surgery
108 MEDICAL CENTER BLVD, SUITE 100
FAYETTEVILLE, TN 37334
Radiologic Technologist (Radiography)
108 MEDICAL CENTER BLVD
FAYETTEVILLE, TN 37334
Radiologic Technologist
108 MEDICAL CENTER BLVD, BOX 7
FAYETTEVILLE, TN 37334
Clinic/Center
108 MEDICAL CENTER BLVD, SUITE 175
FAYETTEVILLE, TN 37334
Specialist
108 MEDICAL CENTER BLVD, SUITE G25
FAYETTEVILLE, TN 37334
Orthopaedic Surgery
108 MEDICAL CENTER BLVD, SUITE 100
FAYETTEVILLE, TN 37334
Otolaryngology
108 MEDICAL CENTER BLVD, SUITE 175
FAYETTEVILLE, TN 37334
Obstetrics & Gynecology
108 MEDICAL CENTER BLVD, SUITE 150
FAYETTEVILLE, TN 37334
Family Medicine
108 MEDICAL CENTER BLVD, SUITE G-50
FAYETTEVILLE, TN 37334
Family Medicine
108 MEDICAL CENTER BLVD, SUITE G-50
FAYETTEVILLE, TN 37334
Specialist
108 MEDICAL CENTER BLVD, SUITE 150
FAYETTEVILLE, TN 37334
Internal Medicine (Hematology & Oncology)
108 MEDICAL CENTER BLVD, STE G25
FAYETTEVILLE, TN 37334
Orthopaedic Surgery
108 MEDICAL CENTER BLVD, STE 175
FAYETTEVILLE, TN 37334
Family Medicine
108 MEDICAL CENTER BLVD, SUITE G 50
FAYETTEVILLE, TN 37334
Family Medicine
108 MEDICAL CENTER BLVD, SUITE G-50
FAYETTEVILLE, TN 37334
Nurse Practitioner (Family)
108 MEDICAL CENTER BLVD
FAYETTEVILLE, TN 37334

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811165616, enumerated as an "organization" on February 14, 2008.

The provider is located at 108 MEDICAL CENTER BLVD SUITE 125 FAYETTEVILLE, TN 37334 and the phone number is (931) 438-7482.

Specialist with taxonomy code 174400000X.