PEACH STATE HEALTH PLAN, INC
NPI 1013034552
Health Maintenance Organization in Smyrna, GA
NPI Status: Active since March 22, 2007
Contact Information
3200 HIGHLANDS PKWY SE
SUITE 300
SMYRNA, GA
ZIP 30082
Phone: (678) 556-2300
Fax: (770) 803-0043
- Organization
- Health Maintenance Organization
About PEACH STATE HEALTH PLAN, INC
This page provides the complete NPI Profile along with additional information for Peach State Health Plan, Inc, a provider established in Smyrna, Georgia operating as a Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1013034552 assigned on March 2007. The practitioner's primary taxonomy code is 302R00000X with license number 12315 (GA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Herbert Spencer M.a. (Compliance Officer)
- NPI
- 1013034552
- Provider Name
- PEACH STATE HEALTH PLAN, INC
- Entity Type
- Organization
- Location Address
- 3200 HIGHLANDS PKWY SE SUITE 300 SMYRNA, GA 30082
- Location Phone
- (678) 556-2300
- Location Fax
- (770) 803-0043
- Mailing Address
- 3200 HIGHLANDS PKWY SE SUITE 300 SMYRNA, GA 30082
- Mailing Phone
- (678) 556-2300
- Mailing Fax
- (770) 803-0043
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-22-2007
- Last Update Date
- 08-22-2020
- Code Navigator
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
Health Maintenance Organization
- Taxonomy Code
- 302R00000X
- Type
- Managed Care Organizations
- License No.
- 12315
- License State
- GA
- Taxonomy Description
- (1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.
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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 1013034552, we treat the final digit (2) 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 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 48 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SMYRNA, GA 30082
SMYRNA, GA 30082
SMYRNA, GA 30082
SMYRNA, GA 30082
SMYRNA, GA 30082
SMYRNA, GA 30082
SMYRNA, GA 30082
SMYRNA, GA 30082
SMYRNA, GA 30082
SMYRNA, GA 30082
SMYRNA, GA 30082
SMYRNA, GA 30082
SMYRNA, GA 30082
SMYRNA, GA 30082
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013034552, enumerated as an "organization" on March 22, 2007.
The provider is located at 3200 HIGHLANDS PKWY SE SUITE 300 SMYRNA, GA 30082 and the phone number is (678) 556-2300.
Health Maintenance Organization with taxonomy code 302R00000X.
