MEDICAL CONSULTANTS OF SOUTHEAST
NPI 1104084409
Clinic/Center in Fayetteville, GA

NPI Status: Active since May 23, 2008

Contact Information

1415 HIGHWAY 85 N
SUITE 310-384
FAYETTEVILLE, GA
ZIP 30214
Phone: (404) 556-1114

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  • Organization
  • Clinic/Center

About MEDICAL CONSULTANTS OF SOUTHEAST

This page provides the complete NPI Profile along with additional information for Medical Consultants Of Southeast, a provider established in Fayetteville, Georgia operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1104084409 assigned on May 2008. The practitioner's primary taxonomy code is 261Q00000X with license number 013102 (GA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Dr. Joseph W. Williams M.d. (President)

NPI
1104084409
Provider Name
MEDICAL CONSULTANTS OF SOUTHEAST
Entity Type
Organization
Location Address
1415 HIGHWAY 85 N SUITE 310-384 FAYETTEVILLE, GA 30214
Location Phone
(404) 556-1114
Mailing Address
1415 HIGHWAY 85 N SUITE 310-384 FAYETTEVILLE, GA 30214
Mailing Phone
(404) 556-1114
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-23-2008
Last Update Date
05-23-2008
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
013102
License State
GA
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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

DR. JOSEPH W. WILLIAMS M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(404) 556-1114

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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 1104084409, 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
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
8
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
0
Doubled → 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 0 → 0 0 → 0 4 → 8 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 0 + 8 + 8 + 4 + 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 1104084409.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Pain Medicine (Interventional Pain Medicine)
1415 HIGHWAY 85 N, SUITE 310-314
FAYETTEVILLE, GA 30214
Speech-Language Pathologist
1415 HIGHWAY 85 N, 310-261
FAYETTEVILLE, GA 30214
Social Worker (Clinical)
1415 HIGHWAY 85 N
FAYETTEVILLE, GA 30214

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104084409, enumerated as an "organization" on May 23, 2008.

The provider is located at 1415 HIGHWAY 85 N SUITE 310-384 FAYETTEVILLE, GA 30214 and the phone number is (404) 556-1114.

Clinic/Center with taxonomy code 261Q00000X.