TANNER MEDICAL CENTER VILLA RICA BH
NPI 1033441290
Community/Behavioral Health in Villa Rica, GA
NPI Status: Active since February 12, 2010
Contact Information
101 QUARTZ DR STE 103A
VILLA RICA, GA
ZIP 30180
Phone: (770) 456-3266
- Organization
- Community/Behavioral Health
- Accepts Insurance
- CLIA Number: 11D0965392
- CLIA Cert. Type: Hospice
- CLIA Exp. Date: 09-20-2027
About TANNER MEDICAL CENTER VILLA RICA BH
This page provides the complete NPI Profile along with additional information for Tanner Medical Center Villa Rica Bh, a provider established in Villa Rica, Georgia operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1033441290 assigned on February 2010. The practitioner's primary taxonomy code is 251S00000X with license number NOT REQUIRED (). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's other name is Tanner Medical Center Villa Rica Bh. The authorized official of this NPI record is Carol Crews (Cfo)
- NPI
- 1033441290
- Provider Legal Name
- TANNER MEDICAL CENTER, INC.
- Other Organization Name
- TANNER MEDICAL CENTER VILLA RICA BH
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 101 QUARTZ DR STE 103A VILLA RICA, GA 30180
- Location Phone
- (770) 456-3266
- Mailing Address
- 705 DIXIE ST CARROLLTON, GA 30117
- Mailing Phone
- (770) 836-9666
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 02-12-2010
- Last Update Date
- 05-10-2016
- 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
- License No.
- NOT REQUIRED
- 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.
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) |
|---|---|---|---|---|
| 1 | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | NOT REQUIRED |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- SoloCare Bronze EPO $8500 DED HSA 10004 - EPO
- SoloCare Exp Bronze EPO $9500 DED 10015 - EPO
- SoloCare Gold EPO $1500 DED 10010 - EPO
- SoloCare Silver EPO $5000 DED 10014 - EPO
- SoloCare Silver EPO $6500 DED 10013 - EPO
- SoloCare Standard Exp Bronze EPO $7500 DED 10008 - EPO
- SoloCare Standard Gold EPO $2000 DED 10006 - EPO
- SoloCare Standard Platinum EPO $0 DED 10005 - EPO
- SoloCare Standard Silver EPO $6000 DED 10007 - EPO
- MENDING Direct Primary Care Bronze 4950 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
- MENDING Direct Primary Care Gold $0 Ded ($0 DPC $0 PCP + $0 Mental Health) - HMO
- MENDING Direct Primary Care Silver 2300 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
- MENDING Standard Bronze (No Direct Primary Care, for DPC select DPC Bronze) - HMO
- MENDING Standard Gold (No Direct Primary Care, for DPC select DPC Gold) - HMO
- MENDING Standard Silver (No Direct Primary Care, for DPC select DPC Silver) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 300027104A | OTHER (01) | GA | MEDICAID PAYEE IDENTIFICATION NUMBER |
| 296667723B | MEDICAID (05) | GA | |
| 1871502260 | OTHER (01) | GA | ORGANIZATIONAL NPI |
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
- 11D0965392
- Facility Type
- Hospice
- Certificate Effective Date
- September 21, 2025
- Certificate Expiration Date
- September 20, 2027
- Laboratory Director
- DEBORAH K. ALLEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Tanner Medical Center Villa Rica Bh 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 1033441290, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
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 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 14 providers are registered at the same or a nearby location.
VILLA RICA, GA 30180
VILLA RICA, GA 30180
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033441290, enumerated as an "organization" on February 12, 2010.
The provider is located at 101 QUARTZ DR STE 103A VILLA RICA, GA 30180 and the phone number is (770) 456-3266.
Community/Behavioral Health with taxonomy code 251S00000X.
The provider might be accepting Accepts: Alliant Health Plans, Inc., Mending Health,. Please consult your insurance carrier or call the provider to verify.
