PEDIATRIC CARDIOLOGY SERVICES LLC
NPI 1003077876
Pediatrics - Pediatric Cardiology in Gainesville, GA

NPI Status: Active since June 24, 2008

Contact Information

200 S ENOTA DR NE
SUITE 380
GAINESVILLE, GA
ZIP 30501
Phone: (770) 995-6684
Fax: (770) 995-7631

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  • Organization
  • Pediatrics
  • Pediatric Cardiology
  • Accepts Insurance

About PEDIATRIC CARDIOLOGY SERVICES LLC

This page provides the complete NPI Profile along with additional information for Pediatric Cardiology Services Llc, a pediatrician established in Gainesville, Georgia operating as a Pediatrics, focusing in pediatric cardiology . The healthcare provider is registered in the NPI registry with number 1003077876 assigned on June 2008. The practitioner's primary taxonomy code is 2080P0202X with license number 043298 (GA). The provider is registered as an organization and their NPI record was last updated 18 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 Ms. Kim Woody Rmm (Practice Administrator)

NPI
1003077876
Provider Name
PEDIATRIC CARDIOLOGY SERVICES LLC
Entity Type
Organization
Location Address
200 S ENOTA DR NE SUITE 380 GAINESVILLE, GA 30501
Location Phone
(770) 995-6684
Location Fax
(770) 995-7631
Mailing Address
500 MEDICAL CENTER BLVD SUITE 340 LAWRENCEVILLE, GA 30045
Mailing Phone
(770) 995-6684
Mailing Fax
(770) 995-7631
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-24-2008
Last Update Date
06-24-2008
Code Navigator

A pediatrician like Pediatric Cardiology Services Llc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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

Pediatrics Pediatric Cardiology

Taxonomy Code
2080P0202X
Type
Allopathic & Osteopathic Physicians
License No.
043298
License State
GA
Taxonomy Description
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 (Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-03 ($10 Labs / Rewards) - PPO
  • BlueOptions Silver 24J01-07 ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-19S ($40 PCP Visits / $80 Specialist Visits / Rewards) - PPO
  • BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx) - EPO
  • BlueSelect Bronze 1449 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - EPO
  • BlueSelect Bronze 2139 ($50 PCP Visits / Rewards) - EPO
  • BlueSelect Bronze 2139E ($50 PCP Visits / Adult Dental & Vision / Rewards) - EPO
  • BlueSelect Bronze 2139V ($50 PCP Visits / Adult Vision / Rewards) - EPO
  • BlueSelect Bronze 2342S ($50 PCP Visits / Rewards) - EPO
  • BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
  • BlueCare Bronze 24K01-03 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-05 (Rewards) - POS
  • BlueCare Bronze 24K01-25 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-31S ($50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-17 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-18 (Rewards) - POS
  • BlueCare Bronze 24K02-23 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-26S ($50 PCP Visits / Rewards) - POS
  • BlueCare Gold 24K01-08 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS
  • BlueCare Gold 24K01-10 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - POS
  • BlueCare Gold 24K01-33S ($30 PCP Visits / $60 Specialist Visits / Rewards) - POS
  • BlueCare Gold 24K02-20 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS
  • BlueCare Gold 24K02-28S ($30 PCP Visits / $60 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-04 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-07 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K02-15 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - POS
  • BlueCare Silver 24K01-02 ($10 Labs / Rewards) - POS

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

MS. KIM WOODY RMM

Authorized Official Title
PRACTICE ADMINISTRATOR
Authorized Official Phone
(770) 995-6684

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
00740891AMEDICAID (05)GA 
000326873GMEDICAID (05)GA 

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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 1003077876, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
7
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
8
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
6
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 0 → 0 0 → 0 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 0 + 3 + 0 + 7 + 1 + 4 + 8 + 1 + 4 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1003077876.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
200 S ENOTA DR NE, SUITE 200
GAINESVILLE, GA 30501
Nurse Practitioner
200 S ENOTA DR NE, SUITE 200
GAINESVILLE, GA 30501
Psychiatry & Neurology (Psychiatry)
200 S ENOTA DR NE
GAINESVILLE, GA 30501
Pediatrics
200 S ENOTA DR NE, SUITE 150
GAINESVILLE, GA 30501
Physician Assistant (Medical)
200 S ENOTA DR NE, SUITE 200
GAINESVILLE, GA 30501
Internal Medicine (Cardiovascular Disease)
200 S ENOTA DR NE, SUITE 200
GAINESVILLE, GA 30501
Nurse Practitioner
200 S ENOTA DR NE, SUITE 200
GAINESVILLE, GA 30501
Physician Assistant
200 S ENOTA DR NE, STE 300
GAINESVILLE, GA 30501
Nurse Practitioner (Acute Care)
200 S ENOTA DR NE, SUITE 200
GAINESVILLE, GA 30501
Surgery (Surgical Critical Care)
200 S ENOTA DR NE, SUITE 150
GAINESVILLE, GA 30501
Psychiatry & Neurology (Psychiatry)
200 S ENOTA DR NE, SUITE 300
GAINESVILLE, GA 30501
Surgery (Trauma Surgery)
200 S ENOTA DR NE, SUITE 150
GAINESVILLE, GA 30501
Surgery (Vascular Surgery)
200 S ENOTA DR NE, SUITE 360
GAINESVILLE, GA 30501
Thoracic Surgery (Cardiothoracic Vascular Surgery)
200 S ENOTA DR NE, SUITE 380
GAINESVILLE, GA 30501
Orthopaedic Surgery (Orthopaedic Trauma)
200 S ENOTA DR NE, SUITE 150
GAINESVILLE, GA 30501
Physician Assistant (Surgical)
200 S ENOTA DR NE, SUITE 380
GAINESVILLE, GA 30501
Nurse Practitioner (Family)
200 S ENOTA DR NE
GAINESVILLE, GA 30501
Internal Medicine (Cardiovascular Disease)
200 S ENOTA DR NE
GAINESVILLE, GA 30501
Clinical Exercise Physiologist
200 S ENOTA DR NE
GAINESVILLE, GA 30501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003077876, enumerated as an "organization" on June 24, 2008.

The provider is located at 200 S ENOTA DR NE SUITE 380 GAINESVILLE, GA 30501 and the phone number is (770) 995-6684.

Pediatrics with taxonomy code 2080P0202X and a focus in Pediatric Cardiology.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to verify.