EVERNORTH CARE PROVIDERS - TENNESSEE PC
NPI 1821869835
General Practice in Durham, NC

NPI Status: Active since January 10, 2024

Contact Information

555 S MANGUM ST STE 100
DURHAM, NC
ZIP 27701
Phone: (773) 292-4800
Fax: (312) 564-4059

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  • Organization
  • General Practice
  • CLIA Number: 34D2318172
  • CLIA Cert. Type: Other - IN HOME PRIMARY CARE
  • CLIA Exp. Date: 02-05-2027

About EVERNORTH CARE PROVIDERS - TENNESSEE PC

This page provides the complete NPI Profile along with additional information for Evernorth Care Providers - Tennessee Pc, a primary care provider established in Durham, North Carolina operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1821869835 assigned on January 2024. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Evernorth Care Providers - Tennessee Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Grace Blue (Credentialing Sr. Manager)

NPI
1821869835
Provider Name
EVERNORTH CARE PROVIDERS - TENNESSEE PC
Entity Type
Organization
Location Address
555 S MANGUM ST STE 100 DURHAM, NC 27701
Location Phone
(773) 292-4800
Location Fax
(312) 564-4059
Mailing Address
730 COOL SPRINGS BLVD STE 500 FRANKLIN, TN 37067
Mailing Phone
(773) 292-4800
Mailing Fax
(312) 564-4059
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-10-2024
Last Update Date
02-14-2024
Code Navigator

A primary care provider (PCP) like Evernorth Care Providers - Tennessee Pc 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

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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

GRACE BLUE

Authorized Official Title
CREDENTIALING SR. MANAGER
Authorized Official Phone
(773) 292-4800

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
34D2318172
Facility Type
Other - IN HOME PRIMARY CARE
Certificate Effective Date
February 06, 2025
Certificate Expiration Date
February 05, 2027
Laboratory Director
CHERYL HILTON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Evernorth Care Providers - Tennessee Pc 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 1821869835, 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 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 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
2
Doubled → 4
Pos 4
1
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
8
Unchanged
Pos 9
3
Doubled → 6
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 2 → 4 8 → 16 → 7 9 → 18 → 9 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 4 + 1 + 1 + 6 + 6 + 1 + 8 + 8 + 6 + 24 = 75

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

The next multiple of ten after 75 is 80. The difference is the calculated check digit.

80 - 75 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1821869835.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Counselor (Mental Health)
555 S MANGUM ST STE 100
DURHAM, NC 27701
Physical Therapist
555 S MANGUM ST STE 100
DURHAM, NC 27701
Social Worker (Clinical)
555 S MANGUM ST STE 100
DURHAM, NC 27701
Social Worker (Clinical)
555 S MANGUM ST STE 100
DURHAM, NC 27701
Home Health
555 S MANGUM ST STE 100
DURHAM, NC 27701
In Home Supportive Care
555 S MANGUM ST STE 100
DURHAM, NC 27701
Community/Behavioral Health
555 S MANGUM ST STE 100
DURHAM, NC 27701
General Practice
555 S MANGUM ST STE 100
DURHAM, NC 27701
Counselor (Mental Health)
555 S MANGUM ST STE 100
DURHAM, NC 27701
Clinic/Center (Adult Mental Health)
555 S MANGUM ST STE 100
DURHAM, NC 27701
Community/Behavioral Health
555 S MANGUM ST STE 100
DURHAM, NC 27701
Clinic/Center (Health Service)
555 S MANGUM ST STE 100
DURHAM, NC 27701
Community/Behavioral Health
555 S MANGUM ST STE 100
DURHAM, NC 27701
Social Worker (Clinical)
555 S MANGUM ST STE 100
DURHAM, NC 27701
Behavior Analyst
555 S MANGUM ST STE 100
DURHAM, NC 27701
Behavior Analyst
555 S MANGUM ST STE 100
DURHAM, NC 27701
Behavior Analyst
555 S MANGUM ST STE 100
DURHAM, NC 27701
Home Health
555 S MANGUM ST STE 100
DURHAM, NC 27701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821869835, enumerated as an "organization" on January 10, 2024.

The provider is located at 555 S MANGUM ST STE 100 DURHAM, NC 27701 and the phone number is (773) 292-4800.

General Practice with taxonomy code 208D00000X.