TOXICOLOGY ASSOCIATES OF NORTH GEORGIA GWINNETT, INC.
NPI 1033440805
Clinic/Center - Methadone in Norcross, GA

NPI Status: Active since January 19, 2010

Contact Information

1895 BEAVER RIDGE CIR
SUITE N
NORCROSS, GA
ZIP 30071
Phone: (770) 248-1616
Fax: (770) 248-1618

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  • Organization
  • Clinic/Center
  • Methadone
  • CLIA Number: 11D1062430
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 12-13-2026

About TOXICOLOGY ASSOCIATES OF NORTH GEORGIA GWINNETT, INC.

This page provides the complete NPI Profile along with additional information for Toxicology Associates Of North Georgia Gwinnett, Inc., a provider established in Norcross, Georgia operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1033440805 assigned on January 2010. The practitioner's primary taxonomy code is 261QM2800X with license number NTO001031 (GA). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Carolyn Keelaghan J.d. (Program Sponsor)

NPI
1033440805
Provider Name
TOXICOLOGY ASSOCIATES OF NORTH GEORGIA GWINNETT, INC.
Entity Type
Organization
Location Address
1895 BEAVER RIDGE CIR SUITE N NORCROSS, GA 30071
Location Phone
(770) 248-1616
Location Fax
(770) 248-1618
Mailing Address
2221 PEACHTREE RD NE #D-291 ATLANTA, GA 30309
Mailing Phone
(770) 248-1616
Mailing Fax
(770) 248-1618
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-19-2010
Last Update Date
01-19-2010
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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 Methadone

Taxonomy Code
261QM2800X
Type
Ambulatory Health Care Facilities
License No.
NTO001031
License State
GA
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

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

CAROLYN KEELAGHAN J.D.

Authorized Official Title
PROGRAM SPONSOR
Authorized Official Phone
(770) 248-1616

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
11D1062430
Facility Type
Practitioner Other
Certificate Effective Date
December 14, 2024
Certificate Expiration Date
December 13, 2026
Laboratory Director
DESMAND J. KEELAGHAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Toxicology Associates Of North Georgia Gwinnett, Inc. 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 1033440805, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
3
Doubled → 6
Pos 4
3
Unchanged
Pos 5
4
Doubled → 8
Pos 6
4
Unchanged
Pos 7
0
Doubled → 0
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
Check
5
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 3 → 6 4 → 8 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 6 + 3 + 8 + 4 + 0 + 8 + 0 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1033440805.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033440805, enumerated as an "organization" on January 19, 2010.

The provider is located at 1895 BEAVER RIDGE CIR SUITE N NORCROSS, GA 30071 and the phone number is (770) 248-1616.

Clinic/Center with taxonomy code 261QM2800X and a focus in Methadone.