MCINTOSH TRAIL CSB
NPI 1023296282
Community/Behavioral Health in Jenkinsburg, GA
NPI Status: Active since February 08, 2008
Contact Information
318 BURG RD
JENKINSBURG, GA
ZIP 30234
Phone: (770) 358-8258
Fax: (770) 229-3223
- Organization
- Community/Behavioral Health
- CLIA Number: 11D0726263
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-11-2027
About MCINTOSH TRAIL CSB
This page provides the complete NPI Profile along with additional information for Mcintosh Trail Csb, a provider established in Jenkinsburg, Georgia operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1023296282 assigned on February 2008. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Pamela Mccollum (Executive Director)
- NPI
- 1023296282
- Provider Name
- MCINTOSH TRAIL CSB
- Entity Type
- Organization
- Location Address
- 318 BURG RD JENKINSBURG, GA 30234
- Location Phone
- (770) 358-8258
- Location Fax
- (770) 229-3223
- Mailing Address
- 1501A KALAMAZOO DR GRIFFIN, GA 30224
- Mailing Phone
- (770) 358-8250
- Mailing Fax
- (770) 229-3223
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-08-2008
- Last Update Date
- 02-08-2008
- 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
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- Taxonomy Description
- A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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
- 11D0726263
- Facility Type
- Physician Office
- Certificate Effective Date
- March 12, 2025
- Certificate Expiration Date
- March 11, 2027
- Laboratory Director
- DR. DAVID A. VAN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Mcintosh Trail Csb 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 1023296282, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
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 58 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023296282, enumerated as an "organization" on February 08, 2008.
The provider is located at 318 BURG RD JENKINSBURG, GA 30234 and the phone number is (770) 358-8258.
Community/Behavioral Health with taxonomy code 251S00000X.
