MRS. JENA W. NICKLES PA
NPI 1821399106
Physician Assistant - Surgical in Mt Pleasant, SC

NPI Status: Active since November 03, 2010

Contact Information

180 WINGO WAY
SUITE 301
MT PLEASANT, SC
ZIP 29464
Phone: (843) 884-0302
Fax: (843) 849-9308

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  • Individual
  • Female
  • Physician Assistant
  • Surgical

About JENA NICKLES

This page provides the complete NPI Profile along with additional information for Jena Nickles, a provider established in Mt Pleasant, South Carolina with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1821399106 assigned on November 2010. The practitioner's primary taxonomy code is 363AS0400X with license number 1585 (SC). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1821399106
Provider Name
MRS. JENA W. NICKLES PA
Other Name
JENA M. WEAVER
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
180 WINGO WAY SUITE 301 MT PLEASANT, SC 29464
Location Phone
(843) 884-0302
Location Fax
(843) 849-9308
Mailing Address
PO BOX 751649 CHARLOTTE, NC 28275
Mailing Phone
(843) 789-1620
Mailing Fax
(843) 849-9308
Is Sole Proprietor?
No
Enumeration Date
11-03-2010
Last Update Date
01-24-2017
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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

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
1585
License State
SC

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.

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
AA59309223MEDICARE PIN (08)SC 
1076PAMEDICAID (05)SC 

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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 1821399106, 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 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
2
Doubled → 4
Pos 4
1
Unchanged
Pos 5
3
Doubled → 6
Pos 6
9
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
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 2 → 4 3 → 6 9 → 18 → 9 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 4 + 1 + 6 + 9 + 1 + 8 + 1 + 0 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1821399106.

Other Providers at the Same Location


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

Internal Medicine
180 WINGO WAY, SUITE 306
MT PLEASANT, SC 29464
Family Medicine
180 WINGO WAY, SUITE 207
MT PLEASANT, SC 29464
Internal Medicine
180 WINGO WAY, SUITE 306
MT PLEASANT, SC 29464
Family Medicine
180 WINGO WAY, SUITE 105
MT PLEASANT, SC 29464
Physician Assistant (Medical)
180 WINGO WAY, SUITE 306
MT PLEASANT, SC 29464
Preferred Provider Organization
180 WINGO WAY, SUITE 202
MT PLEASANT, SC 29464
Technician, Other
180 WINGO WAY, SUITE 104
MOUNT PLEASANT, SC 29464
Internal Medicine (Hematology & Oncology)
180 WINGO WAY, SUITE 205
MT PLEASANT, SC 29464
Internal Medicine
180 WINGO WAY, SUITE 201
MT PLEASANT, SC 29464
Urology
180 WINGO WAY, SUITE 304
MOUNT PLEASANT, SC 29464
Podiatrist (Foot Surgery)
180 WINGO WAY, SUITE 101
MOUNT PLEASANT, SC 29464
Physician Assistant (Medical)
180 WINGO WAY, SUITE 204
MT PLEASANT, SC 29464
Podiatrist (Foot & Ankle Surgery)
180 WINGO WAY, SUITE 101
MOUNT PLEASANT, SC 29464
Surgery (Plastic and Reconstructive Surgery)
180 WINGO WAY, SUITE 205
MT PLEASANT, SC 29464
Surgery (Plastic and Reconstructive Surgery)
180 WINGO WAY, SUITE 205
MOUNT PLEASANT, SC 29464
Podiatrist
180 WINGO WAY, SUITE 201
MOUNT PLEASANT, SC 29464
Podiatrist
180 WINGO WAY, SUITE 201
MOUNT PLEASANT, SC 29464
Podiatrist
180 WINGO WAY, SUITE 201
MOUNT PLEASANT, SC 29464
Pharmacy (Clinic Pharmacy)
180 WINGO WAY, SUITE 103
MT PLEASANT, SC 29464
Obstetrics & Gynecology
180 WINGO WAY, SUITE 308
MT PLEASANT, SC 29464

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821399106, enumerated as an "individual" on November 03, 2010.

The provider is located at 180 WINGO WAY SUITE 301 MT PLEASANT, SC 29464 and the phone number is (843) 884-0302.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

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