Organization provider

CENTRAL PEDIATRICS INC.

Preferred Provider Organization Medicare enrolled

CENTRAL PEDIATRICS INC. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1467639534, based in Athens, AL. It is classified under Preferred Provider Organization.

Getting there

The practice address on file is 707 US HIGHWAY 31 S, Athens, AL 35611. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

707 US HIGHWAY 31 S, Athens, AL 35611 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
25244 AL Preferred Provider Organization primary

This provider holds licence 25244 issued in AL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part A Provider - Rural Health Clinic
PAC ID
4486784790
Enrollment ID
O20100614000275

Medicare enrolment is recorded as approved under the provider type Part A Provider - Rural Health Clinic. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Preferred Provider Organization covers

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. NUCC Health Care Provider Taxonomy, code 305R00000X
Managed Care Organizations Preferred Provider Organization

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1467639534 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateJan 30, 2008
Last updatedJan 30, 2008
StatusActive
Practice address 707 US HIGHWAY 31 S
Athens, AL 35611
(256) 233-0712
Fax (256) 233-3535
Other identifiers 51517667 · Other (AL)
This record was last updated on Jan 30, 2008, roughly 18 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1467639534 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 4 6 7 6 3 9 5 3
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 4 3 7 3 3 9 5 6

Sum = 66 · next multiple of 10 = 70 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1467639534?
NPI 1467639534 is the National Provider Identifier assigned to CENTRAL PEDIATRICS INC. in Athens, AL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Preferred Provider Organization cover?
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
How do I contact CENTRAL PEDIATRICS INC.?
The phone number on file with NPPES is (256) 233-0712, last updated Jan 30, 2008. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does CENTRAL PEDIATRICS INC. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1467639534 a valid number?
Yes. 1467639534 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.