WELLSTAR HEALTH SYSTEMS
NPI 1013330364
Clinic/Center - Medical Specialty in Austell, GA

NPI Status: Active since January 22, 2014

Contact Information

1680 HOSPITAL SOUTH DR
AUSTELL, GA
ZIP 30106
Phone: (470) 956-8364

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  • Organization
  • Clinic/Center
  • Medical Specialty
  • CLIA Number: 11D0254112
  • CLIA Cert. Type: Ancillary Testing Site in Health Care Center
  • CLIA Exp. Date: 11-01-2025

About WELLSTAR HEALTH SYSTEMS

This page provides the complete NPI Profile along with additional information for Wellstar Health Systems, a provider established in Austell, Georgia operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1013330364 assigned on January 2014. The practitioner's primary taxonomy code is 261QM2500X with license number 64951 (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 Raxit R Patel M.d. (Physician)

NPI
1013330364
Provider Name
WELLSTAR HEALTH SYSTEMS
Entity Type
Organization
Location Address
1680 HOSPITAL SOUTH DR AUSTELL, GA 30106
Location Phone
(470) 956-8364
Mailing Address
1680 HOSPITAL SOUTH DR AUSTELL, GA 30106
Mailing Phone
(470) 956-8364
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-22-2014
Last Update Date
02-24-2020
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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

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
License No.
64951
License State
GA
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1282N00000XHospitals

General Acute Care Hospital

64951 (GA)

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

RAXIT R PATEL M.D.

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(470) 956-8364

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
11D0254112
Facility Type
Ancillary Testing Site in Health Care Center
Certificate Effective Date
November 02, 2023
Certificate Expiration Date
November 01, 2025
Laboratory Director
STEVEN LEE
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Wellstar Health Systems 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 1013330364, we treat the final digit (4) 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 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

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
3
Doubled → 6
Pos 6
3
Unchanged
Pos 7
0
Doubled → 0
Pos 8
3
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
4
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 3 → 6 0 → 0 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 2 + 3 + 6 + 3 + 0 + 3 + 1 + 2 + 24 = 46

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

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1013330364.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Internal Medicine
1680 HOSPITAL SOUTH DR
AUSTELL, GA 30106
Nurse Practitioner
1680 HOSPITAL SOUTH DR
AUSTELL, GA 30106
Internal Medicine
1680 HOSPITAL SOUTH DR
AUSTELL, GA 30106
Internal Medicine
1680 HOSPITAL SOUTH DR
AUSTELL, GA 30106
Internal Medicine
1680 HOSPITAL SOUTH DR
AUSTELL, GA 30106
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1680 HOSPITAL SOUTH DR
AUSTELL, GA 30106
Internal Medicine
1680 HOSPITAL SOUTH DR
AUSTELL, GA 30106
Internal Medicine (Pulmonary Disease)
1680 HOSPITAL SOUTH DR
AUSTELL, GA 30106
Internal Medicine
1680 HOSPITAL SOUTH DR
AUSTELL, GA 30106
Nurse Practitioner (Family)
1680 HOSPITAL SOUTH DR
AUSTELL, GA 30106
Family Medicine
1680 HOSPITAL SOUTH DR
AUSTELL, GA 30106
Nurse Practitioner (Family)
1680 HOSPITAL SOUTH DR
AUSTELL, GA 30106
Nurse Practitioner (Family)
1680 HOSPITAL SOUTH DR
AUSTELL, GA 30106

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013330364, enumerated as an "organization" on January 22, 2014.

The provider is located at 1680 HOSPITAL SOUTH DR AUSTELL, GA 30106 and the phone number is (470) 956-8364.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.