CHRIST COMMUNITY HEALTH SERVICES AUGUSTA, INC
NPI 1104630748
Clinic/Center - Dental in Augusta, GA
NPI Status: Active since February 04, 2025
Contact Information
127 TELFAIR ST STE D
AUGUSTA, GA
ZIP 30901
Phone: (706) 922-0601
Fax: (706) 849-4195
- Organization
- Clinic/Center
- Dental
- CLIA Number: 11D1073630
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-12-2027
About CHRIST COMMUNITY HEALTH SERVICES AUGUSTA, INC
This page provides the complete NPI Profile along with additional information for Christ Community Health Services Augusta, Inc, a provider established in Augusta, Georgia operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1104630748 assigned on February 2025. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Ursula Shanerra Rosa (Credentialing & Privileging Manager)
- NPI
- 1104630748
- Provider Name
- CHRIST COMMUNITY HEALTH SERVICES AUGUSTA, INC
- Entity Type
- Organization
- Location Address
- 127 TELFAIR ST STE D AUGUSTA, GA 30901
- Location Phone
- (706) 922-0601
- Location Fax
- (706) 849-4195
- Mailing Address
- PO BOX 31164 AUGUSTA, GA 30903
- Mailing Phone
- (706) 922-0600
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-04-2025
- Last Update Date
- 07-28-2025
- 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 Dental
- Taxonomy Code
- 261QD0000X
- Type
- Ambulatory Health Care Facilities
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
- 11D1073630
- Facility Type
- Physician Office
- Certificate Effective Date
- September 13, 2025
- Certificate Expiration Date
- September 12, 2027
- Laboratory Director
- ROBERT A. CAMPBELL
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Christ Community Health Services Augusta, Inc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate 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 1104630748, 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.
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 52 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104630748, enumerated as an "organization" on February 04, 2025.
The provider is located at 127 TELFAIR ST STE D AUGUSTA, GA 30901 and the phone number is (706) 922-0601.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
