EVANS MEMORIAL HOSPITAL, INC.
NPI 1104350057
General Acute Care Hospital in Claxton, GA
NPI Status: Active since April 18, 2017
Contact Information
200 N RIVER ST
CLAXTON, GA
ZIP 30417
Phone: (912) 739-2611
Fax: (912) 739-5101
- Organization
- General Acute Care Hospital
- CLIA Number: 11D0260979
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 10-22-2026
About EVANS MEMORIAL HOSPITAL, INC.
This page provides the complete NPI Profile along with additional information for Evans Memorial Hospital, Inc., a provider established in Claxton, Georgia operating as a General Acute Care Hospital. The healthcare provider is registered in the NPI registry with number 1104350057 assigned on April 2017. The practitioner's primary taxonomy code is 282N00000X with license number 054526 (GA). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Mr. John W Wiggins (Cfo)
- NPI
- 1104350057
- Provider Name
- EVANS MEMORIAL HOSPITAL, INC.
- Entity Type
- Organization
- Location Address
- 200 N RIVER ST CLAXTON, GA 30417
- Location Phone
- (912) 739-2611
- Location Fax
- (912) 739-5101
- Mailing Address
- 200 N RIVER ST CLAXTON, GA 30417
- Mailing Phone
- (912) 739-2611
- Mailing Fax
- (912) 739-5101
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-18-2017
- Last Update Date
- 04-18-2017
- 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
General Acute Care Hospital
- Taxonomy Code
- 282N00000X
- Type
- Hospitals
- License No.
- 054526
- License State
- GA
- Taxonomy Description
- An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110142 | MEDICARE UPIN (02) | GA |
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
- 11D0260979
- Facility Type
- Hospital
- Certificate Effective Date
- October 23, 2024
- Certificate Expiration Date
- October 22, 2026
- Laboratory Director
- DR. ALVIN B. BRYAN JR
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Evans Memorial Hospital, Inc. after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
Reviews for EVANS MEMORIAL HOSPITAL, INC.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 1104350057, 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 43. The final step is to find the difference between that total and the next multiple of ten (50 - 43 = 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.
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 43 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 15 providers are registered at the same or a nearby location.
CLAXTON, GA 30417
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104350057, enumerated as an "organization" on April 18, 2017.
The provider is located at 200 N RIVER ST CLAXTON, GA 30417 and the phone number is (912) 739-2611.
General Acute Care Hospital with taxonomy code 282N00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
