M.D. MINOR EMERGENCY & FAMILY MEDICINE
NPI 1023281011
Clinic/Center - Urgent Care in Villa Rica, GA

NPI Status: Active since April 10, 2008

Contact Information

209 COOLEY DRIVE
VILLA RICA, GA
ZIP 30180
Phone: (770) 456-0911
Fax: (678) 827-0622

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  • Organization
  • Clinic/Center
  • Urgent Care

About M.D. MINOR EMERGENCY & FAMILY MEDICINE

This page provides the complete NPI Profile along with additional information for M.d. Minor Emergency & Family Medicine, a provider established in Villa Rica, Georgia operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1023281011 assigned on April 2008. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as M.d. Minor Emergency & Family Medicine. The authorized official of this NPI record is Dr. Charles R Cooley M.d. (President)

NPI
1023281011
Provider Legal Name
PHYSICIANS FAMILY MEDICINE, LLC
Other Organization Name
M.D. MINOR EMERGENCY & FAMILY MEDICINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
209 COOLEY DRIVE VILLA RICA, GA 30180
Location Phone
(770) 456-0911
Location Fax
(678) 827-0622
Mailing Address
209 COOLEY DRIVE VILLA RICA, GA 30180
Mailing Phone
(770) 456-0911
Mailing Fax
(678) 827-0622
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-10-2008
Last Update Date
04-10-2008
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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 Urgent Care

Taxonomy Code
261QU0200X
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. CHARLES R COOLEY M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(770) 456-0911

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1023281011
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
204348202
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 4 + 8 + 2 + 0 + 2 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1023281011 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023281011, enumerated as an "organization" on April 10, 2008.

The provider is located at 209 COOLEY DRIVE VILLA RICA, GA 30180 and the phone number is (770) 456-0911.

Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.