CRISP REGIONAL HOSPITAL INC
NPI 1093580359
Orthopaedic Surgery in Cordele, GA

NPI Status: Active since November 16, 2023

Contact Information

1701 E 16TH AVE
CORDELE, GA
ZIP 31015
Phone: (229) 276-2286
Fax: (229) 276-2289

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  • Organization
  • Orthopaedic Surgery
  • CLIA Number: 11D1025700
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 05-13-2028

About CRISP REGIONAL HOSPITAL INC

This page provides the complete NPI Profile along with additional information for Crisp Regional Hospital Inc, a provider established in Cordele, Georgia operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1093580359 assigned on November 2023. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated 3 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 Jessica Yates Carter (Cfo)

NPI
1093580359
Provider Name
CRISP REGIONAL HOSPITAL INC
Entity Type
Organization
Location Address
1701 E 16TH AVE CORDELE, GA 31015
Location Phone
(229) 276-2286
Location Fax
(229) 276-2289
Mailing Address
PO BOX 531739 ATLANTA, GA 30353
Mailing Phone
(229) 276-3100
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-16-2023
Last Update Date
11-16-2023
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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

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

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

JESSICA YATES CARTER

Authorized Official Title
CFO
Authorized Official Phone
(229) 276-3100

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
11D1025700
Facility Type
Other
Certificate Effective Date
May 14, 2026
Certificate Expiration Date
May 13, 2028
Laboratory Director
SUSAN N. BARGE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Crisp Regional Hospital Inc 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 1093580359, 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.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
8
Unchanged
Pos 7
0
Doubled → 0
Pos 8
3
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
9
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 9 → 18 → 9 5 → 10 → 1 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 8 + 3 + 1 + 0 + 8 + 0 + 3 + 1 + 0 + 24 = 51

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.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1093580359.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Clinic/Center (Urgent Care)
1701 E 16TH AVE
CORDELE, GA 31015
Pharmacy (Community/Retail Pharmacy)
1701 E 16TH AVE
CORDELE, GA 31015

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093580359, enumerated as an "organization" on November 16, 2023.

The provider is located at 1701 E 16TH AVE CORDELE, GA 31015 and the phone number is (229) 276-2286.

Orthopaedic Surgery with taxonomy code 207X00000X.