EXECUTIVE MEDICAL ASSOCIATES P.C.
NPI 1104204379
Clinic/Center in Tucker, GA
NPI Status: Active since May 08, 2015
Contact Information
4426 HUGH HOWELL RD
SUITE B303
TUCKER, GA
ZIP 30084
Phone: (770) 572-7574
- Organization
- Clinic/Center
About EXECUTIVE MEDICAL ASSOCIATES P.C.
This page provides the complete NPI Profile along with additional information for Executive Medical Associates P.c., a provider established in Tucker, Georgia operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1104204379 assigned on May 2015. The practitioner's primary taxonomy code is 261Q00000X with license number RN162951 (GA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Lee Wilkes M.d. (Owner/medical Director)
- NPI
- 1104204379
- Provider Name
- EXECUTIVE MEDICAL ASSOCIATES P.C.
- Entity Type
- Organization
- Location Address
- 4426 HUGH HOWELL RD SUITE B303 TUCKER, GA 30084
- Location Phone
- (770) 572-7574
- Mailing Address
- 59 BEAMS WAY DALLAS, GA 30157
- Mailing Phone
- (678) 779-7038
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-08-2015
- Last Update Date
- 05-08-2015
- 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
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- RN162951
- 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).
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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 1104204379, 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 4 providers are registered at the same or a nearby location.
TUCKER, GA 30084
TUCKER, GA 30084
TUCKER, GA 30084
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104204379, enumerated as an "organization" on May 08, 2015.
The provider is located at 4426 HUGH HOWELL RD SUITE B303 TUCKER, GA 30084 and the phone number is (770) 572-7574.
Clinic/Center with taxonomy code 261Q00000X.
