LAKE HARTWELL FAMILY MEDICINE, LLC
NPI 1003015900
Family Medicine in Hartwell, GA

NPI Status: Active since July 12, 2007

Contact Information

162 CADE ST
HARTWELL, GA
ZIP 30643
Phone: (706) 856-6970
Fax: (706) 856-6972

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  • Organization
  • Family Medicine
  • CLIA Number: 11D2027958
  • CLIA Cert. Type: Waiver
  • CLIA Exp. Date: 08-04-2025

About LAKE HARTWELL FAMILY MEDICINE, LLC

Lake Hartwell Family Medicine, Llc is a primary care provider established in Hartwell, Georgia operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1003015900 assigned on July 2007. The practitioner's primary taxonomy code is 207Q00000X with license number 058820 (GA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Wayne Scott Do (Physician/owner)

NPI
1003015900
Provider Name
LAKE HARTWELL FAMILY MEDICINE, LLC
Entity Type
Organization
Location Address
162 CADE ST HARTWELL, GA 30643
Location Phone
(706) 856-6970
Location Fax
(706) 856-6972
Mailing Address
162 CADE ST HARTWELL, GA 30643
Mailing Phone
(706) 856-6970
Mailing Fax
(706) 856-6972
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-12-2007
Last Update Date
09-06-2007
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A primary care provider (PCP) like Lake Hartwell Family Medicine, Llc 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 .

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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
058820
License State
GA
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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. WAYNE SCOTT DO

Authorized Official Title
PHYSICIAN/OWNER
Authorized Official Phone
(706) 856-6970

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
11D2027958
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
August 05, 2023
Certificate Expiration Date
August 04, 2025
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Lake Hartwell Family Medicine, Llc 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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003015900
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003011090
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 1 + 0 + 9 + 0 + 24 = 40
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1003015900 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

NPI Name / Type Taxonomy Address
1386667152DR. WAYNE MARTIN SCOTT D.O.
Individual
Family Medicine162 CADE ST SUITE D
HARTWELL, GA 30643
(706) 856-6970

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003015900, enumerated in the NPI registry as an "organization" on July 12, 2007

The provider is located at 162 Cade St Hartwell, Ga 30643 and the phone number is (706) 856-6970

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider's CLIA number is 11D2027958 for a "end stage renal disease dialysis facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on July 12, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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