WEST GEORGIA UROLOGY ASSOCIATES
NPI 1043909302
Non-Pharmacy Dispensing Site in Carrollton, GA
NPI Status: Active since May 03, 2023
Contact Information
150 CLINIC AVE STE 202
CARROLLTON, GA
ZIP 30117
Phone: (770) 834-6988
Fax: (770) 834-1090
- Organization
- Non-Pharmacy Dispensing Site
- Accepts Insurance
- CLIA Number: 11D2317746
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-29-2027
About WEST GEORGIA UROLOGY ASSOCIATES
This page provides the complete NPI Profile along with additional information for West Georgia Urology Associates, a provider established in Carrollton, Georgia operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1043909302 assigned on May 2023. The practitioner's primary taxonomy code is 332900000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as West Georgia Urology Associates. The authorized official of this NPI record is Clint Hoffman (Senior Vp Tmg Operations)
- NPI
- 1043909302
- Provider Legal Name
- TANNER MEDICAL GROUP INC
- Other Organization Name
- WEST GEORGIA UROLOGY ASSOCIATES
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 150 CLINIC AVE STE 202 CARROLLTON, GA 30117
- Location Phone
- (770) 834-6988
- Location Fax
- (770) 834-1090
- Mailing Address
- 100 GREENWAY BLVD FL 2 CARROLLTON, GA 30117
- Mailing Phone
- (770) 838-8710
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-03-2023
- Last Update Date
- 02-29-2024
- 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
Non-Pharmacy Dispensing Site
- Taxonomy Code
- 332900000X
- Type
- Suppliers
- Taxonomy Description
- A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BSW Diabetes Care Gold HMO 014 - HMO
- BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Elite Gold HMO 004 - HMO
- BSW Elite Gold HMO 012 - HMO
- BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Prime Silver HMO 008 - HMO
- BSW Prime Silver HMO 005 - HMO
- BSW Savers Bronze HMO H S A 006 - HMO
- BSW Savers Bronze HMO H S A 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Savers Bronze HMO H S A 009 - HMO
- 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
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 11D2317746
- Facility Type
- Physician Office
- Certificate Effective Date
- January 30, 2025
- Certificate Expiration Date
- January 29, 2027
- Laboratory Director
- JESSE MITCHELL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to West Georgia Urology Associates 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 1043909302, 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.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043909302, enumerated as an "organization" on May 03, 2023.
The provider is located at 150 CLINIC AVE STE 202 CARROLLTON, GA 30117 and the phone number is (770) 834-6988.
Non-Pharmacy Dispensing Site with taxonomy code 332900000X.
The provider might be accepting Accepts: Baylor Scott and White Health Plan and Mending. Please consult your insurance carrier or call the provider to verify.
