STOCKBRIDGE FAMILY DENTAL
NPI 1013211887
Clinic/Center - Dental in Stockbridge, GA
NPI Status: Active since January 07, 2011
Contact Information
153 N PARK TRL
STOCKBRIDGE, GA
ZIP 30281
Phone: (678) 289-5436
Fax: (678) 289-5438
- Organization
- Clinic/Center
- Dental
- CLIA Number: 11D1089949
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 05-22-2026
About STOCKBRIDGE FAMILY DENTAL
This page provides the complete NPI Profile along with additional information for Stockbridge Family Dental, a provider established in Stockbridge, Georgia operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1013211887 assigned on January 2011. The practitioner's primary taxonomy code is 261QD0000X with license number DN013658 (GA). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Stockbridge Family Dental. The authorized official of this NPI record is Dr. Colin E Williams Dds (Dentist)
- NPI
- 1013211887
- Provider Legal Name
- COLIN E WILLIAMS DDS PC
- Other Organization Name
- STOCKBRIDGE FAMILY DENTAL
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 153 N PARK TRL STOCKBRIDGE, GA 30281
- Location Phone
- (678) 289-5436
- Location Fax
- (678) 289-5438
- Mailing Address
- 164 BABBLING BROOK DR MCDONOUGH, GA 30252
- Mailing Phone
- (678) 289-5436
- Mailing Fax
- (678) 289-5438
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-07-2011
- Last Update Date
- 01-07-2011
- 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
Clinic/Center Dental
- Taxonomy Code
- 261QD0000X
- Type
- Ambulatory Health Care Facilities
- License No.
- DN013658
- License State
- GA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
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.
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 |
|---|---|---|---|
| 663050454A | MEDICAID (05) | GA |
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
- 11D1089949
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- September 30, 2008
- Certificate Expiration Date
- May 22, 2026
- Laboratory Director
- CRAIG CAMPUS
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Stockbridge Family Dental on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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 1013211887, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).
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 53 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013211887, enumerated as an "organization" on January 07, 2011.
The provider is located at 153 N PARK TRL STOCKBRIDGE, GA 30281 and the phone number is (678) 289-5436.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
