COMMUNITY CARE CLINIC OF DARE
NPI 1942930748
General Practice in Nags Head, NC

NPI Status: Active since June 14, 2022

Contact Information

425 W HEALTH CENTER DR
NAGS HEAD, NC
ZIP 27959
Phone: (252) 261-3041
Fax: (252) 255-6352

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  • Organization
  • General Practice
  • CLIA Number: 34D2146251
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 03-25-2026

About COMMUNITY CARE CLINIC OF DARE

This page provides the complete NPI Profile along with additional information for Community Care Clinic Of Dare, a primary care provider established in Nags Head, North Carolina operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1942930748 assigned on June 2022. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Mrs. Lyn Mathis Jenkins Bsn Rn (Executive Director)

NPI
1942930748
Provider Name
COMMUNITY CARE CLINIC OF DARE
Entity Type
Organization
Location Address
425 W HEALTH CENTER DR NAGS HEAD, NC 27959
Location Phone
(252) 261-3041
Location Fax
(252) 255-6352
Mailing Address
PO BOX 1329 NAGS HEAD, NC 27959
Mailing Phone
(252) 261-3041
Mailing Fax
(252) 255-6352
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-14-2022
Last Update Date
08-11-2022
Code Navigator

A primary care provider (PCP) like Community Care Clinic Of Dare 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

Secondary Locations

  • 50347 NC HWY 12
    FRISCO, NC 27936
    (252) 261-3041

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

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QP2300XAmbulatory Health Care Facilities

Clinic/Center
Primary Care

 

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. LYN MATHIS JENKINS BSN RN

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(252) 261-3041

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
34D2146251
Facility Type
Community Clinic
Certificate Effective Date
March 26, 2024
Certificate Expiration Date
March 25, 2026
Laboratory Director
RICK GRAY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Community Care Clinic Of Dare 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 1942930748, we treat the final digit (8) 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

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
4
Doubled → 8
Pos 4
2
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
4
Doubled → 8
Check
8
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 4 → 8 9 → 18 → 9 0 → 0 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 8 + 2 + 1 + 8 + 3 + 0 + 7 + 8 + 24 = 72

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

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1942930748.

Other Providers at the Same Location


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

Nurse Practitioner (Family)
425 W HEALTH CENTER DR
NAGS HEAD, NC 27959
Nurse Practitioner (Family)
425 W HEALTH CENTER DR
NAGS HEAD, NC 27959
Pharmacy (Clinic Pharmacy)
425 W HEALTH CENTER DR
NAGS HEAD, NC 27959

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942930748, enumerated as an "organization" on June 14, 2022.

The provider is located at 425 W HEALTH CENTER DR NAGS HEAD, NC 27959 and the phone number is (252) 261-3041.

General Practice with taxonomy code 208D00000X.