SOUTHEASTERN WELLNESS SERVICES
NPI 1962038174
Internal Medicine in Hot Springs, AR

NPI Status: Active since March 19, 2020

Contact Information

1636 HIGDON FERRY RD
HOT SPRINGS, AR
ZIP 71913
Phone: (501) 651-2000

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  • Organization
  • Internal Medicine
  • CLIA Number: 04D2131801
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-15-2026

About SOUTHEASTERN WELLNESS SERVICES

This page provides the complete NPI Profile along with additional information for Southeastern Wellness Services, an internist established in Hot Springs, Arkansas operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1962038174 assigned on March 2020. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 3 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 Jeff Bordelon (Owner)

NPI
1962038174
Provider Name
SOUTHEASTERN WELLNESS SERVICES
Entity Type
Organization
Location Address
1636 HIGDON FERRY RD HOT SPRINGS, AR 71913
Location Phone
(501) 651-2000
Mailing Address
11401 N RODNEY PARHAM RD STE 4 LITTLE ROCK, AR 72212
Mailing Phone
(501) 223-9948
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-19-2020
Last Update Date
07-25-2023
Code Navigator

An internist like Southeastern Wellness Services 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 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

JEFF BORDELON

Authorized Official Title
OWNER
Authorized Official Phone
(501) 223-9948

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
04D2131801
Facility Type
Physician Office
Certificate Effective Date
May 16, 2024
Certificate Expiration Date
May 15, 2026
Laboratory Director
DR. CLAYTON NASH
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Southeastern Wellness Services on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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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 1962038174, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
4
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 6 → 12 → 3 0 → 0 8 → 16 → 7 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 2 + 2 + 0 + 3 + 1 + 6 + 1 + 1 + 4 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1962038174.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Nurse Anesthetist, Certified Registered
1636 HIGDON FERRY RD, MLK BOULEVARD
HOT SPRINGS, AR 71913
Nurse Anesthetist, Certified Registered
1636 HIGDON FERRY RD, MLK BLVD
HOT SPRINGS, AR 71913
General Acute Care Hospital
1636 HIGDON FERRY RD
HOT SPRINGS, AR 71913
Preventive Medicine (Undersea and Hyperbaric Medicine)
1636 HIGDON FERRY RD
HOT SPRINGS NATIONAL PARK, AR 71913
Physical Medicine & Rehabilitation
1636 HIGDON FERRY RD
HOT SPRINGS, AR 71913
Rehabilitation Hospital
1636 HIGDON FERRY RD
HOT SPRINGS, AR 71913
Nurse Practitioner (Gerontology)
1636 HIGDON FERRY RD
HOT SPRINGS, AR 71913
Internal Medicine
1636 HIGDON FERRY RD
HOT SPRINGS, AR 71913
Nurse Practitioner (Family)
1636 HIGDON FERRY RD
HOT SPRINGS, AR 71913
Rehabilitation Hospital
1636 HIGDON FERRY RD
HOT SPRINGS, AR 71913
Rehabilitation Hospital
1636 HIGDON FERRY RD
HOT SPRINGS, AR 71913
Nurse Practitioner (Family)
1636 HIGDON FERRY RD
HOT SPRINGS, AR 71913
Nurse Anesthetist, Certified Registered
1636 HIGDON FERRY RD
HOT SPRINGS, AR 71913

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962038174, enumerated as an "organization" on March 19, 2020.

The provider is located at 1636 HIGDON FERRY RD HOT SPRINGS, AR 71913 and the phone number is (501) 651-2000.

Internal Medicine with taxonomy code 207R00000X.