PIEDMONT PERIODONTICS ATLANTA LLC
NPI 1013515709
Clinic/Center - Dental in Atlanta, GA

NPI Status: Active since October 14, 2020

Contact Information

222 12TH ST NE STE 1B
ATLANTA, GA
ZIP 30309
Phone: (404) 815-4800
Fax: (404) 815-0002

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  • Organization
  • Clinic/Center
  • Dental
  • CLIA Number: 11D2276545
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-09-2027

About PIEDMONT PERIODONTICS ATLANTA LLC

This page provides the complete NPI Profile along with additional information for Piedmont Periodontics Atlanta Llc, a provider established in Atlanta, Georgia operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1013515709 assigned on October 2020. The practitioner's primary taxonomy code is 261QD0000X. 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 Dr. John W Schaefer Dmd (Owner/periodontist)

NPI
1013515709
Provider Name
PIEDMONT PERIODONTICS ATLANTA LLC
Entity Type
Organization
Location Address
222 12TH ST NE STE 1B ATLANTA, GA 30309
Location Phone
(404) 815-4800
Location Fax
(404) 815-0002
Mailing Address
222 12TH ST NE STE 1B ATLANTA, GA 30309
Mailing Phone
(404) 815-4800
Mailing Fax
(404) 815-0002
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-14-2020
Last Update Date
10-14-2020
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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 Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

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

DR. JOHN W SCHAEFER DMD

Authorized Official Title
OWNER/PERIODONTIST
Authorized Official Phone
(404) 815-4800

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
11D2276545
Facility Type
Physician Office
Certificate Effective Date
February 10, 2025
Certificate Expiration Date
February 09, 2027
Laboratory Director
CHRISTOPHER ERIC ALEXANDER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Piedmont Periodontics Atlanta Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1013515709, we treat the final digit (9) 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 41. The final step is to find the difference between that total and the next multiple of ten (50 - 41 = 9).

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
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
7
Unchanged
Pos 9
0
Doubled → 0
Check
9
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 5 → 10 → 1 5 → 10 → 1 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 2 + 3 + 1 + 0 + 1 + 1 + 0 + 7 + 0 + 24 = 41

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

The next multiple of ten after 41 is 50. The difference is the calculated check digit.

50 - 41 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1013515709.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist (Periodontics)
222 12TH ST NE STE 1B
ATLANTA, GA 30309

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013515709, enumerated as an "organization" on October 14, 2020.

The provider is located at 222 12TH ST NE STE 1B ATLANTA, GA 30309 and the phone number is (404) 815-4800.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.