PEDIATRIC ADOLESCENT MEDICINE, INC.
NPI 1902975899
Pediatrics - Adolescent Medicine in Selma, AL

NPI Status: Active since November 07, 2006

Contact Information

1107 VOEGLIN AVE
SUITE 202
SELMA, AL
ZIP 36703
Phone: (334) 874-4843
Fax: (334) 874-9598

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  • Organization
  • Pediatrics
  • Adolescent Medicine
  • CLIA Number: 01D0306147
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-31-2026

About PEDIATRIC ADOLESCENT MEDICINE, INC.

This page provides the complete NPI Profile along with additional information for Pediatric Adolescent Medicine, Inc., a pediatrician established in Selma, Alabama operating as a Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1902975899 assigned on November 2006. The practitioner's primary taxonomy code is 2080A0000X with license number 14314 (AL). The provider is registered as an organization and their NPI record was last updated 6 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 Mrs. Patricia Ann Kendrick-robinson (M.d.)

NPI
1902975899
Provider Name
PEDIATRIC ADOLESCENT MEDICINE, INC.
Entity Type
Organization
Location Address
1107 VOEGLIN AVE SUITE 202 SELMA, AL 36703
Location Phone
(334) 874-4843
Location Fax
(334) 874-9598
Mailing Address
1107 VOEGLIN AVE SUITE 202 SELMA, AL 36703
Mailing Phone
(334) 874-4843
Mailing Fax
(334) 874-9598
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-07-2006
Last Update Date
08-22-2020
Code Navigator

A pediatrician like Pediatric Adolescent Medicine, Inc. is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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

Pediatrics Adolescent Medicine

Taxonomy Code
2080A0000X
Type
Allopathic & Osteopathic Physicians
License No.
14314
License State
AL
Taxonomy Description
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

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.

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.

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

MRS. PATRICIA ANN KENDRICK-ROBINSON

Authorized Official Title
M.D.
Authorized Official Phone
(334) 874-4843

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
51500362OTHER (01)ALBCBS

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
01D0306147
Facility Type
Physician Office
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
PATRICIA ROBINSON MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pediatric Adolescent Medicine, Inc. 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 1902975899, 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 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
9
Unchanged
Pos 3
0
Doubled → 0
Pos 4
2
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
8
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
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 0 → 0 9 → 18 → 9 5 → 10 → 1 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 0 + 2 + 1 + 8 + 7 + 1 + 0 + 8 + 1 + 8 + 24 = 71

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

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1902975899.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Clinic/Center (Federally Qualified Health Center (FQHC))
1107 VOEGLIN AVE
SELMA, AL 36703
Pediatrics (Adolescent Medicine)
1107 VOEGLIN AVE, SUITE 202
SELMA, AL 36703

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902975899, enumerated as an "organization" on November 07, 2006.

The provider is located at 1107 VOEGLIN AVE SUITE 202 SELMA, AL 36703 and the phone number is (334) 874-4843.

Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.

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