PARKSIDE ELLIJAY
NPI 1083144109
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Ellijay, GA
NPI Status: Active since June 13, 2017
Contact Information
1362 S MAIN ST
ELLIJAY, GA
ZIP 30540
Phone: (706) 635-7881
Fax: (706) 276-3698
- Organization
- Clinic/Center
- Rehabilitation, Comprehensive Outpatient...
- CLIA Number: 11D2118723
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 09-13-2026
About PARKSIDE ELLIJAY
This page provides the complete NPI Profile along with additional information for Parkside Ellijay, a provider established in Ellijay, Georgia operating as a Clinic/center, focusing in rehabilitation, comprehensive outpatient rehabilitation facility (corf) . The healthcare provider is registered in the NPI registry with number 1083144109 assigned on June 2017. The practitioner's primary taxonomy code is 261QR0401X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Parkside Ellijay. The authorized official of this NPI record is Ms. Sheila Brockman (Chief Executive Officer)
- NPI
- 1083144109
- Provider Legal Name
- SOUTHERN HEALTH CORP OF ELLIJAY
- Other Organization Name
- PARKSIDE ELLIJAY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1362 S MAIN ST ELLIJAY, GA 30540
- Location Phone
- (706) 635-7881
- Location Fax
- (706) 276-3698
- Mailing Address
- PO BOX 2239 ELLIJAY, GA 30540
- Mailing Phone
- (706) 635-7881
- Mailing Fax
- (706) 276-3698
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-13-2017
- Last Update Date
- 06-13-2017
- 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 Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
- Taxonomy Code
- 261QR0401X
- 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
- 11D2118723
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- September 14, 2024
- Certificate Expiration Date
- September 13, 2026
- Laboratory Director
- MEREDYTH GALLAGHER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Parkside Ellijay to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1083144109, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
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 51 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 16 providers are registered at the same or a nearby location.
ELLIJAY, GA 30540
ELLIJAY, GA 30540
ELLIJAY, GA 30540
ELLIJAY, GA 30540
ELLIJAY, GA 30540
ELLIJAY, GA 30540
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083144109, enumerated as an "organization" on June 13, 2017.
The provider is located at 1362 S MAIN ST ELLIJAY, GA 30540 and the phone number is (706) 635-7881.
Clinic/Center with taxonomy code 261QR0401X and a focus in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF).
