COBB REGENERATIVE & JOINT CLINIC LLC
NPI 1053985341
Anesthesiology - Pain Medicine in Kennesaw, GA

NPI Status: Active since May 19, 2021

Contact Information

1050 SHILOH RD NW STE 305
KENNESAW, GA
ZIP 30144
Phone: (770) 485-8298
Fax: (770) 234-5215

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  • Organization
  • Anesthesiology
  • Pain Medicine

About COBB REGENERATIVE & JOINT CLINIC LLC

This page provides the complete NPI Profile along with additional information for Cobb Regenerative & Joint Clinic Llc, a provider established in Kennesaw, Georgia operating as a Anesthesiology, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1053985341 assigned on May 2021. The practitioner's primary taxonomy code is 207LP2900X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Cobb Regenerative & Joint Clinic Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. 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 Sixto Gonzalez (Operating Manager/owner)

NPI
1053985341
Provider Name
COBB REGENERATIVE & JOINT CLINIC LLC
Entity Type
Organization
Location Address
1050 SHILOH RD NW STE 305 KENNESAW, GA 30144
Location Phone
(770) 485-8298
Location Fax
(770) 234-5215
Mailing Address
1050 SHILOH RD NW STE 305 KENNESAW, GA 30144
Mailing Phone
(770) 485-8298
Mailing Fax
(770) 234-5215
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-19-2021
Last Update Date
08-07-2023
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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

Anesthesiology Pain Medicine

Taxonomy Code
207LP2900X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

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)
1163WP0000XNursing Service Providers

Registered Nurse
Pain Management

 
2174400000XOther Service Providers

Specialist

 

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.

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

SIXTO GONZALEZ

Authorized Official Title
OPERATING MANAGER/OWNER
Authorized Official Phone
(770) 485-8298

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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 1053985341, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
9
Doubled → 18 → 1 + 8
Pos 6
8
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
3
Unchanged
Pos 9
4
Doubled → 8
Check
1
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 9 → 18 → 9 5 → 10 → 1 4 → 8

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 + 8 + 8 + 1 + 0 + 3 + 8 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1053985341.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053985341, enumerated as an "organization" on May 19, 2021.

The provider is located at 1050 SHILOH RD NW STE 305 KENNESAW, GA 30144 and the phone number is (770) 485-8298.

Anesthesiology with taxonomy code 207LP2900X and a focus in Pain Medicine.