JOHNSON MEDICAL CLINIC
NPI 1972595601
Clinic/Center - Rural Health in Red Springs, NC

NPI Status: Active since August 18, 2005

Contact Information

222 S MAIN ST
RED SPRINGS, NC
ZIP 28377
Phone: (910) 843-4576
Fax: (910) 843-2301

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  • Organization
  • Clinic/Center
  • Rural Health

About JOHNSON MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for Johnson Medical Clinic, a primary care provider established in Red Springs, North Carolina operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1972595601 assigned on August 2005. The practitioner's primary taxonomy code is 261QR1300X with license number H0064 (NC). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Johnson Medical Clinic. The authorized official of this NPI record is Charles Thomas Johnson Iii (Cfo)

NPI
1972595601
Provider Legal Name
SOUTHEASTERN REGIONAL MEDICAL CENTER
Other Organization Name
JOHNSON MEDICAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
222 S MAIN ST RED SPRINGS, NC 28377
Location Phone
(910) 843-4576
Location Fax
(910) 843-2301
Mailing Address
2600 N ELM ST LUMBERTON, NC 28358
Mailing Phone
(910) 272-3051
Mailing Fax
(910) 843-2301
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-18-2005
Last Update Date
01-27-2009
Code Navigator

A primary care provider (PCP) like Johnson Medical Clinic 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

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities
License No.
H0064
License State
NC

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.

*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

CHARLES THOMAS JOHNSON III

Authorized Official Title
CFO
Authorized Official Phone
(910) 671-5090

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
343415MEDICARE PIN (08)NC 
343415AMEDICAID (05)NC 
0185KOTHER (01)NCBLUE CROSS BLUE SHIELD
343415CMEDICAID (05)NC 
343415MEDICARE OSCAR/CERTIFICATION (06)NC 

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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 1972595601, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
7
Doubled → 14 → 1 + 4
Pos 4
2
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
6
Unchanged
Pos 9
0
Doubled → 0
Check
1
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 7 → 14 → 5 5 → 10 → 1 5 → 10 → 1 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 4 + 2 + 1 + 0 + 9 + 1 + 0 + 6 + 0 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1972595601.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
222 S MAIN ST
RED SPRINGS, NC 28377
Clinic/Center
222 S MAIN ST
RED SPRINGS, NC 28377

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972595601, enumerated as an "organization" on August 18, 2005.

The provider is located at 222 S MAIN ST RED SPRINGS, NC 28377 and the phone number is (910) 843-4576.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

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