OGEECHEE OB-GYN, P.C.
NPI 1053380592
Obstetrics & Gynecology in Statesboro, GA
NPI Status: Active since March 16, 2006
Contact Information
1497 FAIR RD
SUITE 300
STATESBORO, GA
ZIP 30458
Phone: (912) 871-6206
Fax: (912) 681-8558
- Organization
- Obstetrics & Gynecology
- CLIA Number: 11D2305942
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-09-2026
About OGEECHEE OB-GYN, P.C.
This page provides the complete NPI Profile along with additional information for Ogeechee Ob-gyn, P.c., a women's health care provider established in Statesboro, Georgia operating as a Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1053380592 assigned on March 2006. The practitioner's primary taxonomy code is 207V00000X with license number 056210 (GA). The provider is registered as an organization and their NPI record was last updated 6 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 authorized official of this NPI record is Tonya Kay Clark (Office Manager)
- NPI
- 1053380592
- Provider Name
- OGEECHEE OB-GYN, P.C.
- Entity Type
- Organization
- Location Address
- 1497 FAIR RD SUITE 300 STATESBORO, GA 30458
- Location Phone
- (912) 871-6206
- Location Fax
- (912) 681-8558
- Mailing Address
- 1497 FAIR RD SUITE 300 STATESBORO, GA 30458
- Mailing Phone
- (912) 871-6206
- Mailing Fax
- (912) 681-8558
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-16-2006
- Last Update Date
- 08-22-2020
- Code Navigator
Women's health care providers like Ogeechee Ob-gyn, P.c. treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
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
Obstetrics & Gynecology
- Taxonomy Code
- 207V00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 056210
- License State
- GA
- Taxonomy Description
- An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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:
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 |
|---|---|---|---|
| 056210 | OTHER (01) | GA | LICENSE |
| 1053380592 | OTHER (01) | GA | 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
- 11D2305942
- Facility Type
- Physician Office
- Certificate Effective Date
- June 10, 2024
- Certificate Expiration Date
- June 09, 2026
- Laboratory Director
- JAMES SMALL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Ogeechee Ob-gyn, P.c. 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 1053380592, 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 19 providers are registered at the same or a nearby location.
STATESBORO, GA 30458
STATESBORO, GA 30458
STATESBORO, GA 30458
STATESBORO, GA 30458
STATESBORO, GA 30458
STATESBORO, GA 30458
STATESBORO, GA 30458
STATESBORO, GA 30458
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053380592, enumerated as an "organization" on March 16, 2006.
The provider is located at 1497 FAIR RD SUITE 300 STATESBORO, GA 30458 and the phone number is (912) 871-6206.
Obstetrics & Gynecology with taxonomy code 207V00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
