ARCHBOLD BROOKS PRIMARY CARE
NPI 1063841138
Clinic/Center - Multi-Specialty in Quitman, GA
NPI Status: Active since November 08, 2013
Contact Information
1309 W SCREVEN ST
QUITMAN, GA
ZIP 31643
Phone: (229) 263-7868
Fax: (229) 263-8746
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 11D0672685
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 12-31-2027
About ARCHBOLD BROOKS PRIMARY CARE
This page provides the complete NPI Profile along with additional information for Archbold Brooks Primary Care, a provider established in Quitman, Georgia operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1063841138 assigned on November 2013. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Archbold Brooks Primary Care. The authorized official of this NPI record is Greg Hembree (Senior Vp/cfo)
- NPI
- 1063841138
- Provider Legal Name
- BROOKS COUNTY HOSPITAL
- Other Organization Name
- ARCHBOLD BROOKS PRIMARY CARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1309 W SCREVEN ST QUITMAN, GA 31643
- Location Phone
- (229) 263-7868
- Location Fax
- (229) 263-8746
- Mailing Address
- 900 CAIRO RD THOMASVILLE, GA 31792
- Mailing Phone
- (229) 227-5158
- Mailing Fax
- (229) 263-8746
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-08-2013
- Last Update Date
- 04-25-2019
- 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
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
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
- 11D0672685
- Facility Type
- Hospital
- Certificate Effective Date
- January 01, 2026
- Certificate Expiration Date
- December 31, 2027
- Laboratory Director
- DR. EDWARD T. WRIGHT
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Archbold Brooks Primary Care on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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 1063841138, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
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 52 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
QUITMAN, GA 31643
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063841138, enumerated as an "organization" on November 08, 2013.
The provider is located at 1309 W SCREVEN ST QUITMAN, GA 31643 and the phone number is (229) 263-7868.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
