METHODIST UNIVERSITY
NPI 1962809269
Physician Assistant - Medical in Fayetteville, NC

NPI Status: Active since December 02, 2014

Contact Information

5400 RAMSEY ST
FAYETTEVILLE, NC
ZIP 28311
Phone: (910) 630-7164
Fax: (910) 630-7544

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  • Organization
  • Physician Assistant
  • Medical
  • CLIA Number: 34D2161718
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 02-07-2027

About METHODIST UNIVERSITY

This page provides the complete NPI Profile along with additional information for Methodist University, a primary care provider established in Fayetteville, North Carolina operating as a Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1962809269 assigned on December 2014. The practitioner's primary taxonomy code is 363AM0700X with license number 103047 (NC). The provider is registered as an organization and their NPI record was last updated 12 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 Dr. Ben Hancock (President)

NPI
1962809269
Provider Name
METHODIST UNIVERSITY
Entity Type
Organization
Location Address
5400 RAMSEY ST FAYETTEVILLE, NC 28311
Location Phone
(910) 630-7164
Location Fax
(910) 630-7544
Mailing Address
5400 RAMSEY ST FAYETTEVILLE, NC 28311
Mailing Phone
(910) 630-7164
Mailing Fax
(910) 630-7544
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-02-2014
Last Update Date
12-02-2014
Code Navigator

A primary care provider (PCP) like Methodist University 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

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

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
103047
License State
NC

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

DR. BEN HANCOCK

Authorized Official Title
PRESIDENT
Authorized Official Phone
(910) 630-7164

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
34D2161718
Facility Type
School/Student Health Service
Certificate Effective Date
February 08, 2025
Certificate Expiration Date
February 07, 2027
Laboratory Director
LYNETTA ALLEN-GEDDIE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Methodist University 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.

Reviews for METHODIST UNIVERSITY

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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 1962809269, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
8
Doubled → 16 → 1 + 6
Pos 6
0
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
2
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
9
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 8 → 16 → 7 9 → 18 → 9 6 → 12 → 3

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 + 6 + 0 + 1 + 8 + 2 + 1 + 2 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1962809269.

Other Providers at the Same Location


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

Specialist/Technologist (Athletic Trainer)
5400 RAMSEY ST
FAYETTEVILLE, NC 28311
Specialist/Technologist (Athletic Trainer)
5400 RAMSEY ST
FAYETTEVILLE, NC 28311
Specialist/Technologist (Athletic Trainer)
5400 RAMSEY ST
FAYETTEVILLE, NC 28311
Specialist/Technologist (Athletic Trainer)
5400 RAMSEY ST
FAYETTEVILLE, NC 28311
Student in an Organized Health Care Education/Training Program
5400 RAMSEY ST
FAYETTEVILLE, NC 28311
Specialist/Technologist (Athletic Trainer)
5400 RAMSEY ST
FAYETTEVILLE, NC 28311
Counselor (Mental Health)
5400 RAMSEY ST, PEARCE HALL
FAYETTEVILLE, NC 28311
Physical Medicine & Rehabilitation (Sports Medicine)
5400 RAMSEY ST
FAYETTEVILLE, NC 28311
Physical Therapist (Orthopedic)
5400 RAMSEY ST
FAYETTEVILLE, NC 28311
Counselor (Mental Health)
5400 RAMSEY ST
FAYETTEVILLE, NC 28311
Specialist/Technologist (Athletic Trainer)
5400 RAMSEY ST
FAYETTEVILLE, NC 28311
Physician Assistant
5400 RAMSEY ST
FAYETTEVILLE, NC 28311
Specialist/Technologist (Athletic Trainer)
5400 RAMSEY ST
FAYETTEVILLE, NC 28311

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962809269, enumerated as an "organization" on December 02, 2014.

The provider is located at 5400 RAMSEY ST FAYETTEVILLE, NC 28311 and the phone number is (910) 630-7164.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.