SOUTH ATLANTA URGENT CARE CLINIC LLC
NPI 1053767376
Non-Pharmacy Dispensing Site in Atlanta, GA

NPI Status: Active since May 05, 2016

Contact Information

5185 OLD NATIONAL HWY
ATLANTA, GA
ZIP 30349
Phone: (609) 703-5097

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  • Organization
  • Non-Pharmacy Dispensing Site

About SOUTH ATLANTA URGENT CARE CLINIC LLC

This page provides the complete NPI Profile along with additional information for South Atlanta Urgent Care Clinic Llc, a provider established in Atlanta, Georgia operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1053767376 assigned on May 2016. The practitioner's primary taxonomy code is 332900000X with license number 055916 (GA). The provider is registered as an organization and their NPI record was last updated March 2026. The authorized official of this NPI record is Matthew Legowski (Operations)

NPI
1053767376
Provider Name
SOUTH ATLANTA URGENT CARE CLINIC LLC
Entity Type
Organization
Location Address
5185 OLD NATIONAL HWY ATLANTA, GA 30349
Location Phone
(609) 703-5097
Mailing Address
5185 OLD NATIONAL HWY ATLANTA, GA 30349
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-05-2016
Last Update Date
03-14-2026
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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

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
License No.
055916
License State
GA
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.)

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

MATTHEW LEGOWSKI

Authorized Official Title
OPERATIONS
Authorized Official Phone
(609) 703-5097

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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 1053767376, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
6
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
6
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 5 → 10 → 1 7 → 14 → 5 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 0 + 3 + 1 + 4 + 6 + 1 + 4 + 3 + 1 + 4 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1053767376.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Internal Medicine
5185 OLD NATIONAL HWY
ATLANTA, GA 30349
Nurse Practitioner (Family)
5185 OLD NATIONAL HWY
ATLANTA, GA 30349
Clinic/Center (Urgent Care)
5185 OLD NATIONAL HWY
ATLANTA, GA 30349
Chiropractor
5185 OLD NATIONAL HWY
ATLANTA, GA 30349
Internal Medicine
5185 OLD NATIONAL HWY
ATLANTA, GA 30349
Family Medicine
5185 OLD NATIONAL HWY
COLLEGE PARK, GA 30349
Nurse Practitioner (Family)
5185 OLD NATIONAL HWY
ATLANTA, GA 30349
Nurse Practitioner (Family)
5185 OLD NATIONAL HWY
ATLANTA, GA 30349
Nurse Practitioner
5185 OLD NATIONAL HWY
COLLEGE PARK, GA 30349
Physician Assistant (Medical)
5185 OLD NATIONAL HWY
ATLANTA, GA 30349

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053767376, enumerated as an "organization" on May 05, 2016.

The provider is located at 5185 OLD NATIONAL HWY ATLANTA, GA 30349 and the phone number is (609) 703-5097.

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.