MITCHELL COUNTY HOSPITAL - VRADTN
NPI 1104270727
Radiology - Diagnostic Radiology in Camilla, GA

NPI Status: Active since April 20, 2016

Contact Information

90 E STEPHENS ST
CAMILLA, GA
ZIP 31730
Phone: (229) 336-5284

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  • Organization
  • Radiology
  • Diagnostic Radiology
  • CLIA Number: 11D0266044
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 11-30-2027

About MITCHELL COUNTY HOSPITAL - VRADTN

This page provides the complete NPI Profile along with additional information for Mitchell County Hospital - Vradtn, a provider established in Camilla, Georgia operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1104270727 assigned on April 2016. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 8 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 provider's is doing business as Mitchell County Hospital - Vradtn. The authorized official of this NPI record is Mr. Gregory S. Hembree (Senior Vice President)

NPI
1104270727
Provider Legal Name
HOSPITAL AUTHORITY OF MITCHELL COUNTY
Other Organization Name
MITCHELL COUNTY HOSPITAL - VRADTN
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
90 E STEPHENS ST CAMILLA, GA 31730
Location Phone
(229) 336-5284
Mailing Address
920 CAIRO RD THOMASVILLE, GA 31792
Mailing Phone
(229) 228-8800
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-20-2016
Last Update Date
08-29-2018
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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

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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

MR. GREGORY S. HEMBREE

Authorized Official Title
SENIOR VICE PRESIDENT
Authorized Official Phone
(229) 228-2880

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
11D0266044
Facility Type
Hospital
Certificate Effective Date
December 01, 2025
Certificate Expiration Date
November 30, 2027
Laboratory Director
DR. SETH J. BILELLO
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Mitchell County Hospital - Vradtn 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 1104270727, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

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
7
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
2
Doubled → 4
Check
7
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 0 → 0 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 + 7 + 0 + 7 + 4 + 24 = 53

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

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1104270727.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Nurse Anesthetist, Certified Registered
90 E STEPHENS ST
CAMILLA, GA 31730
Occupational Therapist
90 E STEPHENS ST
CAMILLA, GA 31730
Hospitalist
90 E STEPHENS ST
CAMILLA, GA 31730
Pharmacy (Community/Retail Pharmacy)
90 E STEPHENS ST
CAMILLA, GA 31730
Occupational Therapist
90 E STEPHENS ST
CAMILLA, GA 31730
Nurse Practitioner (Family)
90 E STEPHENS ST
CAMILLA, GA 31730
Occupational Therapist
90 E STEPHENS ST
CAMILLA, GA 31730
Speech-Language Pathologist
90 E STEPHENS ST
CAMILLA, GA 31730
Radiology (Diagnostic Radiology)
90 E STEPHENS ST
CAMILLA, GA 31730
Radiology (Diagnostic Radiology)
90 E STEPHENS ST
CAMILLA, GA 31730
Clinical Medical Laboratory
90 E STEPHENS ST
CAMILLA, GA 31730
Medicare Defined Swing Bed Unit
90 E STEPHENS ST
CAMILLA, GA 31730
General Acute Care Hospital (Critical Access)
90 E STEPHENS ST
CAMILLA, GA 31730

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104270727, enumerated as an "organization" on April 20, 2016.

The provider is located at 90 E STEPHENS ST CAMILLA, GA 31730 and the phone number is (229) 336-5284.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.