SOUTHPARK VASCULAR CENTER
NPI 1962046763
Internal Medicine - Interventional Cardiology in Colonial Heights, VA
NPI Status: Active since November 05, 2019
Contact Information
445 CHARLES H DIMMOCK PKWY STE 101
COLONIAL HEIGHTS, VA
ZIP 23834
Phone: (804) 520-1764
Fax: (866) 781-3220
- Organization
- Internal Medicine
- Interventional Cardiology
- CLIA Number: 49D2329115
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 08-21-2027
About SOUTHPARK VASCULAR CENTER
This page provides the complete NPI Profile along with additional information for Southpark Vascular Center, an internist established in Colonial Heights, Virginia operating as a Internal Medicine, focusing in interventional cardiology . The healthcare provider is registered in the NPI registry with number 1962046763 assigned on November 2019. The practitioner's primary taxonomy code is 207RI0011X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Southpark Vascular Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Janet Dees (President)
- NPI
- 1962046763
- Provider Name
- SOUTHPARK VASCULAR CENTER
- Entity Type
- Organization
- Location Address
- 445 CHARLES H DIMMOCK PKWY STE 101 COLONIAL HEIGHTS, VA 23834
- Location Phone
- (804) 520-1764
- Location Fax
- (866) 781-3220
- Mailing Address
- 3001 PALM HARBOR BLVD STE A PALM HARBOR, FL 34683
- Mailing Phone
- (727) 214-0462
- Mailing Fax
- (866) 781-3220
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-05-2019
- Last Update Date
- 11-05-2019
- Code Navigator
An internist like Southpark Vascular Center 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 Interventional Cardiology
- Taxonomy Code
- 207RI0011X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
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) |
|---|---|---|---|---|
| 1 | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas 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
- 49D2329115
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- August 22, 2025
- Certificate Expiration Date
- August 21, 2027
- Laboratory Director
- JENNY M. HARRELL
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Southpark Vascular Center after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that 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 1962046763, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962046763, enumerated as an "organization" on November 05, 2019.
The provider is located at 445 CHARLES H DIMMOCK PKWY STE 101 COLONIAL HEIGHTS, VA 23834 and the phone number is (804) 520-1764.
Internal Medicine with taxonomy code 207RI0011X and a focus in Interventional Cardiology.
