IMPACT 13 MEDICAL, PLLC
IMPACT 13 MEDICAL, PLLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1548805617, based in Jacksonville, FL. The organization lists 5 taxonomy classifications, with Neurology Physician recorded as primary.
Getting there
The practice address on file is 10752 DEERWOOD PARK BLVD SOUTH WATERVIEW II SUITE 100, Jacksonville, FL 32256. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Neurology covers
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. NUCC Health Care Provider Taxonomy, code 2084N0400X
All registered taxonomy codes
This provider registers 5 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2084N0400X | Neurology Physician Neurology | — | — | primary |
| 1041C0700X | Clinical Social Worker Clinical | — | — | |
| 2084P0804X | Child & Adolescent Psychiatry Physician Child & Adolescent Psychiatry | — | — | |
| 2084P0805X | Geriatric Psychiatry Physician Geriatric Psychiatry | — | — | |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health | — | — |
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.
| NPI | 1548805617 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Nov 13, 2019 |
| Last updated | Dec 18, 2019 |
| Status | Active |
| Practice address |
10752 DEERWOOD PARK BLVD SOUTH WATERVIEW II SUITE 100 Jacksonville, FL 32256 (904) 755-1017 Fax (646) 774-0386 |
Number check
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 | 5 | 4 | 8 | 8 | 0 | 5 | 6 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 5 | 8 | 8 | 7 | 0 | 1 | 6 | 2 |
Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7
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.