THE FOOT CLINIC
NPI 1962689042
Clinic/Center - Podiatric in Vicksburg, MS

NPI Status: Active since January 30, 2008

Contact Information

1814 MISSION 66
VICKSBURG, MS
ZIP 39180
Phone: (601) 638-7520
Fax: (601) 638-7541

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  • Organization
  • Clinic/Center
  • Podiatric

About THE FOOT CLINIC

This page provides the complete NPI Profile along with additional information for The Foot Clinic, a provider established in Vicksburg, Mississippi operating as a Clinic/center, focusing in podiatric . The healthcare provider is registered in the NPI registry with number 1962689042 assigned on January 2008. The practitioner's primary taxonomy code is 261QP1100X with license number 80142 (MS). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as The Foot Clinic. The authorized official of this NPI record is Dr. Brian Edward Shockley Dpm (President/owner)

NPI
1962689042
Provider Legal Name
DELTA FOOT CLINICS, INC
Other Organization Name
THE FOOT CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1814 MISSION 66 VICKSBURG, MS 39180
Location Phone
(601) 638-7520
Location Fax
(601) 638-7541
Mailing Address
1814 MISSION 66 VICKSBURG, MS 39180
Mailing Phone
(601) 638-7520
Mailing Fax
(601) 638-7541
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-30-2008
Last Update Date
01-28-2011
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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

Clinic/Center Podiatric

Taxonomy Code
261QP1100X
Type
Ambulatory Health Care Facilities
License No.
80142
License State
MS

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.

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.

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

DR. BRIAN EDWARD SHOCKLEY DPM

Authorized Official Title
PRESIDENT/OWNER
Authorized Official Phone
(601) 638-7520

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
=========OTHER (01)MSMAILHANDLERS
1851563OTHER (01)MSUNITED HEALTHCARE
412865OTHER (01)MSFIRST HEALTH
5963224OTHER (01)MSAETNA
=========OTHER (01)MSFISERV HEALTH
4J434CP38MEDICARE PIN (08)LA 
=========OTHER (01)MSSTATE EMPLOYEE GROUP BENE
=========OTHER (01)MSAMERICAN LIFECARE
1540447MEDICAID (05)LA 
4342670001MEDICARE NSC (07)MS 
=========OTHER (01)MSTRICARE
U68247MEDICARE UPIN (02)LA 
00119033MEDICAID (05)MS 
430434140AOTHER (01)MSBCBS
480026580OTHER (01)MSRAILROAD MEDICARE
=========OTHER (01)MSMS PUBLIC ENTITY EMPLOYEE
4342670001OTHER (01)MSMEDOCARE DME
U68247MEDICARE UPIN (02)MS 
480000095MEDICARE PIN (08)MS 
=========OTHER (01)MSHUMANA
=========OTHER (01)MSGEHA
480026580MEDICARE PIN (08)MS 

Reviews for THE FOOT CLINIC

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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 1962689042, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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
6
Doubled → 12 → 1 + 2
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
0
Unchanged
Pos 9
4
Doubled → 8
Check
2
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 6 → 12 → 3 9 → 18 → 9 4 → 8

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 + 1 + 2 + 8 + 1 + 8 + 0 + 8 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1962689042.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Podiatrist
1814 MISSION 66
VICKSBURG, MS 39180

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962689042, enumerated as an "organization" on January 30, 2008.

The provider is located at 1814 MISSION 66 VICKSBURG, MS 39180 and the phone number is (601) 638-7520.

Clinic/Center with taxonomy code 261QP1100X and a focus in Podiatric.

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