PEACHTREE SPINE CENTER
NPI 1013296078
Preferred Provider Organization in Atlanta, GA

NPI Status: Active since August 09, 2011

Contact Information

1401 PEACHTREE ST NE STE 160
ATLANTA, GA
ZIP 30309
Phone: (404) 475-0386
Fax: (404) 475-0443

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  • Organization
  • Preferred Provider Organization
  • CLIA Number: 11D2161222
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-28-2027

About PEACHTREE SPINE CENTER

This page provides the complete NPI Profile along with additional information for Peachtree Spine Center, a provider established in Atlanta, Georgia operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1013296078 assigned on August 2011. The practitioner's primary taxonomy code is 305R00000X with license number CHIR005228 (GA). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Ms. Sara Badie (Billing)

NPI
1013296078
Provider Name
PEACHTREE SPINE CENTER
Entity Type
Organization
Location Address
1401 PEACHTREE ST NE STE 160 ATLANTA, GA 30309
Location Phone
(404) 475-0386
Location Fax
(404) 475-0443
Mailing Address
1401 PEACHTREE ST NE STE 160 ATLANTA, GA 30309
Mailing Phone
(404) 475-0386
Mailing Fax
(404) 475-0443
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-09-2011
Last Update Date
08-09-2011
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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

Preferred Provider Organization

Taxonomy Code
305R00000X
Type
Managed Care Organizations
License No.
CHIR005228
License State
GA
Taxonomy Description
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

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. SARA BADIE

Authorized Official Title
BILLING
Authorized Official Phone
(770) 876-6964

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
11D2161222
Facility Type
Physician Office
Certificate Effective Date
January 29, 2025
Certificate Expiration Date
January 28, 2027
Laboratory Director
HILTON K. HOWARD
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Peachtree Spine Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate 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 1013296078, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

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
1
Doubled → 2
Pos 4
3
Unchanged
Pos 5
2
Doubled → 4
Pos 6
9
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
8
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 1 → 2 2 → 4 6 → 12 → 3 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 + 2 + 3 + 4 + 9 + 1 + 2 + 0 + 1 + 4 + 24 = 52

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

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1013296078.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013296078, enumerated as an "organization" on August 09, 2011.

The provider is located at 1401 PEACHTREE ST NE STE 160 ATLANTA, GA 30309 and the phone number is (404) 475-0386.

Preferred Provider Organization with taxonomy code 305R00000X.