CENTRO PRENATAL DE GEORGIA
NPI 1073918207
Clinical Nurse Specialist - Women's Health in Forest Park, GA

NPI Status: Active since October 30, 2014

Contact Information

4990 PHILLIPS DR
FOREST PARK, GA
ZIP 30297
Phone: (404) 608-7449
Fax: (404) 608-7451

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  • Organization
  • Clinical Nurse Specialist
  • Women's Health
  • CLIA Number: 11D2043157
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-27-2026

About CENTRO PRENATAL DE GEORGIA

This page provides the complete NPI Profile along with additional information for Centro Prenatal De Georgia, a provider established in Forest Park, Georgia operating as a Clinical Nurse Specialist, focusing in women's health . The healthcare provider is registered in the NPI registry with number 1073918207 assigned on October 2014. The practitioner's primary taxonomy code is 364SW0102X with license number RN1185224NP (GA). The provider is registered as an organization and their NPI record was last updated 12 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 Rosalba Gomez (Office Manager)

NPI
1073918207
Provider Name
CENTRO PRENATAL DE GEORGIA
Entity Type
Organization
Location Address
4990 PHILLIPS DR FOREST PARK, GA 30297
Location Phone
(404) 608-7449
Location Fax
(404) 608-7451
Mailing Address
4990 PHILLIPS DR FOREST PARK, GA 30297
Mailing Phone
(404) 608-7449
Mailing Fax
(404) 608-7451
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-30-2014
Last Update Date
10-30-2014
Code Navigator

A Clinical Nurse Specialist (CNS) like Centro Prenatal De Georgia is a type of advanced practice registered nurse (APRN) that provides direct patient care in various nursing specialties, including pediatrics or psychiatric-mental health. CNSs collaborate with other nurses and medical professionals to improve patient care quality. CNSs are often positioned in leadership roles where they may provide education and mentorship to other nursing personnel. Additionally, CNSs may also conduct research and advocate for certain healthcare policies.

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

Clinical Nurse Specialist Women's Health

Taxonomy Code
364SW0102X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
RN1185224NP
License State
GA

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

ROSALBA GOMEZ

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(404) 608-7449

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
11D2043157
Facility Type
Physician Office
Certificate Effective Date
June 28, 2024
Certificate Expiration Date
June 27, 2026
Laboratory Director
DR. TIMOTHY BROWN
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Centro Prenatal De Georgia in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate 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 1073918207, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

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
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
1
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
2
Unchanged
Pos 9
0
Doubled → 0
Check
7
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 7 → 14 → 5 9 → 18 → 9 8 → 16 → 7 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 4 + 3 + 1 + 8 + 1 + 1 + 6 + 2 + 0 + 24 = 53

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

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1073918207.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (Medical Specialty)
4990 PHILLIPS DR
FOREST PARK, GA 30297

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073918207, enumerated as an "organization" on October 30, 2014.

The provider is located at 4990 PHILLIPS DR FOREST PARK, GA 30297 and the phone number is (404) 608-7449.

Clinical Nurse Specialist with taxonomy code 364SW0102X and a focus in Women's Health.