INTEGRATED-ACTIVHEALTHCARE, LLC
NPI 1104967850
Preferred Provider Organization in Lilburn, GA
NPI Status: Active since February 08, 2007
Contact Information
4566 LAWRENCEVILLE HWY NW
LILBURN, GA
ZIP 30047
Phone: (770) 455-0040
Fax: (770) 455-6188
- Organization
- Preferred Provider Organization
About INTEGRATED-ACTIVHEALTHCARE, LLC
This page provides the complete NPI Profile along with additional information for Integrated-activhealthcare, Llc, a provider established in Lilburn, Georgia operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1104967850 assigned on February 2007. The practitioner's primary taxonomy code is 305R00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. Mark Brickhouse (Director Of Operations)
- NPI
- 1104967850
- Provider Name
- INTEGRATED-ACTIVHEALTHCARE, LLC
- Entity Type
- Organization
- Location Address
- 4566 LAWRENCEVILLE HWY NW LILBURN, GA 30047
- Location Phone
- (770) 455-0040
- Location Fax
- (770) 455-6188
- Mailing Address
- PO BOX 969 LILBURN, GA 30048
- Mailing Phone
- (770) 455-0040
- Mailing Fax
- (770) 455-6188
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-08-2007
- Last Update Date
- 08-22-2020
- 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
Preferred Provider Organization
- Taxonomy Code
- 305R00000X
- Type
- Managed Care Organizations
- Taxonomy Description
- A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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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 1104967850, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
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 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104967850, enumerated as an "organization" on February 08, 2007.
The provider is located at 4566 LAWRENCEVILLE HWY NW LILBURN, GA 30047 and the phone number is (770) 455-0040.
Preferred Provider Organization with taxonomy code 305R00000X.
