PICKENS COUNTY SPECIAL ED DEPT
NPI 1104998475
Local Education Agency (LEA) in Jasper, GA

NPI Status: Active since November 14, 2006

Contact Information

100 D.B. CARROLL STREET
JASPER, GA
ZIP 30143
Phone: (706) 253-1700
Fax: (706) 253-1712

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  • Organization
  • Local Education Agency (LEA)
  • CLIA Number: 11D2161097
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 05-22-2026

About PICKENS COUNTY SPECIAL ED DEPT

This page provides the complete NPI Profile along with additional information for Pickens County Special Ed Dept, a provider established in Jasper, Georgia operating as a Local Education Agency (lea). The healthcare provider is registered in the NPI registry with number 1104998475 assigned on November 2006. The practitioner's primary taxonomy code is 251300000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Pickens County Special Ed Dept. The authorized official of this NPI record is Patti A Friedman (Admin Asst Spec Ed)

NPI
1104998475
Provider Legal Name
PICKENS COUNTY BOARD OF EDUCATION
Other Organization Name
PICKENS COUNTY SPECIAL ED DEPT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
100 D.B. CARROLL STREET JASPER, GA 30143
Location Phone
(706) 253-1700
Location Fax
(706) 253-1712
Mailing Address
100 D.B. CARROLL STREET JASPER, GA 30143
Mailing Phone
(706) 253-1700
Mailing Fax
(706) 253-1712
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-14-2006
Last Update Date
05-08-2013
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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

Local Education Agency (LEA)

Taxonomy Code
251300000X
Type
Agencies
Taxonomy Description
The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy.

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.

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

PATTI A FRIEDMAN

Authorized Official Title
ADMIN ASST SPEC ED
Authorized Official Phone
(706) 253-1700

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
00774859AMEDICAID (05)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
11D2161097
Facility Type
Community Clinic
Certificate Effective Date
January 27, 2019
Certificate Expiration Date
May 22, 2026
Laboratory Director
CRAIG CAMPUS
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Pickens County Special Ed Dept 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 1104998475, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
9
Doubled → 18 → 1 + 8
Pos 6
9
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
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 9 → 18 → 9 8 → 16 → 7 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 1 + 8 + 9 + 1 + 6 + 4 + 1 + 4 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1104998475.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104998475, enumerated as an "organization" on November 14, 2006.

The provider is located at 100 D.B. CARROLL STREET JASPER, GA 30143 and the phone number is (706) 253-1700.

Local Education Agency (LEA) with taxonomy code 251300000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.