FAMILY MEDICAL CENTER (HOLDING) P.C.
NPI 1053797183
Internal Medicine - Adolescent Medicine in College Park, GA

NPI Status: Active since July 30, 2015

Contact Information

5615 OLD NATIONAL HWY
COLLEGE PARK, GA
ZIP 30349
Phone: (770) 997-2900

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  • Organization
  • Internal Medicine
  • Adolescent Medicine

About FAMILY MEDICAL CENTER (HOLDING) P.C.

This page provides the complete NPI Profile along with additional information for Family Medical Center (holding) P.c., an internist established in College Park, Georgia operating as a Internal Medicine, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1053797183 assigned on July 2015. The practitioner's primary taxonomy code is 207RA0000X with license number 058527 (GA). The provider is registered as an organization and their NPI record was last updated 11 years ago. Family Medical Center (holding) P.c. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Sallu Jabati Md (Ceo)

NPI
1053797183
Provider Name
FAMILY MEDICAL CENTER (HOLDING) P.C.
Entity Type
Organization
Location Address
5615 OLD NATIONAL HWY COLLEGE PARK, GA 30349
Location Phone
(770) 997-2900
Mailing Address
5615 OLD NATIONAL HWY COLLEGE PARK, GA 30349
Mailing Phone
(770) 997-2900
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-30-2015
Last Update Date
07-30-2015
Code Navigator

An internist like Family Medical Center (holding) P.c. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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

Internal Medicine Adolescent Medicine

Taxonomy Code
207RA0000X
Type
Allopathic & Osteopathic Physicians
License No.
058527
License State
GA
Taxonomy Description
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

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)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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.

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

SALLU JABATI MD

Authorized Official Title
CEO
Authorized Official Phone
(678) 559-4526

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
712681970BMEDICAID (05)GA 

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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 1053797183, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
1
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
3
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 8 → 16 → 7

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 + 9 + 1 + 4 + 1 + 1 + 6 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1053797183.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Community/Behavioral Health
5615 OLD NATIONAL HWY, SUITE D
COLLEGE PARK, GA 30349
Pharmacist
5615 OLD NATIONAL HWY, B
COLLEGE PARK, GA 30349
Pharmacy
5615 OLD NATIONAL HWY, B
COLLEGE PARK, GA 30349
Clinic/Center (Physical Therapy)
5615 OLD NATIONAL HWY, SUITE D
COLLEGE PARK, GA 30349
Chiropractor
5615 OLD NATIONAL HWY, SUITE E
COLLEGE PARK, GA 30349
Nurse Practitioner (Primary Care)
5615 OLD NATIONAL HWY
COLLEGE PARK, GA 30349
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
5615 OLD NATIONAL HWY, STE A
COLLEGE PARK, GA 30349

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053797183, enumerated as an "organization" on July 30, 2015.

The provider is located at 5615 OLD NATIONAL HWY COLLEGE PARK, GA 30349 and the phone number is (770) 997-2900.

Internal Medicine with taxonomy code 207RA0000X and a focus in Adolescent Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.