CARL VINSON VAMC
NPI 1104212828
Case Management in Dublin, GA

NPI Status: Active since April 09, 2015

Contact Information

1826 VETERAN BLVD
DUBLIN, GA
ZIP 31021
Phone: (478) 272-1210

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  • Organization
  • Case Management
  • CLIA Number: 11D0987704
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 05-22-2026

About CARL VINSON VAMC

This page provides the complete NPI Profile along with additional information for Carl Vinson Vamc, a provider established in Dublin, Georgia operating as a Case Management. The healthcare provider is registered in the NPI registry with number 1104212828 assigned on April 2015. The practitioner's primary taxonomy code is 251B00000X with license number MSW005953 (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 Mrs. Susan Brooks (Health System Specialist)

NPI
1104212828
Provider Name
CARL VINSON VAMC
Entity Type
Organization
Location Address
1826 VETERAN BLVD DUBLIN, GA 31021
Location Phone
(478) 272-1210
Mailing Address
1826 VETERANS BLVD DUBLIN, GA 31021
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-09-2015
Last Update Date
04-09-2015
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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

Case Management

Taxonomy Code
251B00000X
Type
Agencies
License No.
MSW005953
License State
GA
Taxonomy Description
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.

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

MRS. SUSAN BROOKS

Authorized Official Title
HEALTH SYSTEM SPECIALIST
Authorized Official Phone
(478) 272-1210

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
11D0987704
Facility Type
Hospital
Certificate Effective Date
June 12, 2001
Certificate Expiration Date
May 22, 2026
Laboratory Director
CHRISTOPHER CAMPO
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Carl Vinson Vamc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high 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 1104212828, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

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
2
Doubled → 4
Pos 6
1
Unchanged
Pos 7
2
Doubled → 4
Pos 8
8
Unchanged
Pos 9
2
Doubled → 4
Check
8
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 2 → 4 2 → 4 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 4 + 1 + 4 + 8 + 4 + 24 = 52

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

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1104212828.

Other Providers at the Same Location


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

Family Medicine
1826 VETERAN BLVD
DUBLIN, GA 31021
Social Worker (School)
1826 VETERAN BLVD
DUBLIN, GA 31021

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104212828, enumerated as an "organization" on April 09, 2015.

The provider is located at 1826 VETERAN BLVD DUBLIN, GA 31021 and the phone number is (478) 272-1210.

Case Management with taxonomy code 251B00000X.