SNEADS FERRY PEDIATRICS PC
NPI 1871855379
Nurse Practitioner - Pediatrics in Sneads Ferry, NC

NPI Status: Active since June 11, 2012

Contact Information

108 LAKESIDE DR
SNEADS FERRY, NC
ZIP 28460
Phone: (910) 327-5437
Fax: (877) 505-8468

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  • Organization
  • Nurse Practitioner
  • Pediatrics
  • CLIA Number: 34D2046753
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 09-10-2026

About SNEADS FERRY PEDIATRICS PC

This page provides the complete NPI Profile along with additional information for Sneads Ferry Pediatrics Pc, a provider established in Sneads Ferry, North Carolina operating as a Nurse Practitioner, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1871855379 assigned on June 2012. The practitioner's primary taxonomy code is 363LP0200X with license number 20000007 (NC). The provider is registered as an organization and their NPI record was last updated 14 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 Jack Wilcox Np (Ceo)

NPI
1871855379
Provider Name
SNEADS FERRY PEDIATRICS PC
Entity Type
Organization
Location Address
108 LAKESIDE DR SNEADS FERRY, NC 28460
Location Phone
(910) 327-5437
Location Fax
(877) 505-8468
Mailing Address
108 LAKESIDE DR SNEADS FERRY, NC 28460
Mailing Phone
(910) 327-5437
Mailing Fax
(877) 505-8468
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-11-2012
Last Update Date
06-11-2012
Code Navigator

A nurse practitioner (NP) like Sneads Ferry Pediatrics Pc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, 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

Nurse Practitioner Pediatrics

Taxonomy Code
363LP0200X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
20000007
License State
NC

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

JACK WILCOX NP

Authorized Official Title
CEO
Authorized Official Phone
(910) 327-5437

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
34D2046753
Facility Type
Practitioner Other
Certificate Effective Date
September 11, 2024
Certificate Expiration Date
September 10, 2026
Laboratory Director
ISHWAR H. GOPICHAND
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Sneads Ferry Pediatrics 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 1871855379, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
7
Doubled → 14 → 1 + 4
Pos 4
1
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
5
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
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 7 → 14 → 5 8 → 16 → 7 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 4 + 1 + 1 + 6 + 5 + 1 + 0 + 3 + 1 + 4 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1871855379.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Counselor (Mental Health)
108 LAKESIDE DR
SNEADS FERRY, NC 28460
Nurse Practitioner (Pediatrics)
108 LAKESIDE DR
SNEADS FERRY, NC 28460
Nurse Practitioner (Family)
108 LAKESIDE DR
SNEADS FERRY, NC 28460

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871855379, enumerated as an "organization" on June 11, 2012.

The provider is located at 108 LAKESIDE DR SNEADS FERRY, NC 28460 and the phone number is (910) 327-5437.

Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.