PRIMARY CARE SERVICES AT MAGNOLIA TRACE
NPI 1922554641
Internal Medicine in Huntsville, AL
NPI Status: Active since September 01, 2016
Contact Information
ONE CLUBHOUSE AVENUE
HUNTSVILLE, AL
ZIP 35802
Phone: (256) 261-1600
Fax: (256) 883-1842
- Organization
- Internal Medicine
- CLIA Number: 01D2117592
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-18-2026
About PRIMARY CARE SERVICES AT MAGNOLIA TRACE
This page provides the complete NPI Profile along with additional information for Primary Care Services At Magnolia Trace, an internist established in Huntsville, Alabama operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1922554641 assigned on September 2016. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Primary Care Services At Magnolia Trace. The authorized official of this NPI record is Susan Ahern (Svp, Cfo)
- NPI
- 1922554641
- Provider Legal Name
- ACTS SIGNATURE COMMUNITY SERVICES, INC.
- Other Organization Name
- PRIMARY CARE SERVICES AT MAGNOLIA TRACE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- ONE CLUBHOUSE AVENUE HUNTSVILLE, AL 35802
- Location Phone
- (256) 261-1600
- Location Fax
- (256) 883-1842
- Mailing Address
- 420 DELAWARE DR FORT WASHINGTON, PA 19034
- Mailing Phone
- (215) 661-8330
- Mailing Fax
- (256) 883-1842
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-01-2016
- Last Update Date
- 02-20-2024
- Code Navigator
An internist like Primary Care Services At Magnolia Trace is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Group Taxonomy 193400000X MULTIPLE 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.
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
- 01D2117592
- Facility Type
- Physician Office
- Certificate Effective Date
- August 19, 2024
- Certificate Expiration Date
- August 18, 2026
- Laboratory Director
- MICHAEL K. JOHNSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Primary Care Services At Magnolia Trace 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 Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 2 | 2 | 5 | 5 | 4 | 6 | 4 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 4 | 2 | 10 | 5 | 8 | 6 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 4 + 2 + 1 + 0 + 5 + 8 + 6 + 8 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1922554641 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922554641, enumerated as an "organization" on September 01, 2016.
The provider is located at ONE CLUBHOUSE AVENUE HUNTSVILLE, AL 35802 and the phone number is (256) 261-1600.
Internal Medicine with taxonomy code 207R00000X.
