SOUTHERN MEDICAL SUPPLY
NPI 1114014347
Durable Medical Equipment & Medical Supplies in Fort Oglethorpe, GA

NPI Status: Active since October 09, 2006

Contact Information

91 CRYE LEIKE DR
FORT OGLETHORPE, GA
ZIP 30742
Phone: (706) 861-7303
Fax: (706) 861-0201

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About SOUTHERN MEDICAL SUPPLY

This page provides the complete NPI Profile along with additional information for Southern Medical Supply, a provider established in Fort Oglethorpe, Georgia operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1114014347 assigned on October 2006. The practitioner's primary taxonomy code is 332B00000X with license number 957 (GA). 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 Donna Carroll (Office Manager)

NPI
1114014347
Provider Name
SOUTHERN MEDICAL SUPPLY
Entity Type
Organization
Location Address
91 CRYE LEIKE DR FORT OGLETHORPE, GA 30742
Location Phone
(706) 861-7303
Location Fax
(706) 861-0201
Mailing Address
PO BOX 5513 FORT OGLETHORPE, GA 30742
Mailing Phone
(706) 861-7303
Mailing Fax
(706) 861-0201
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-09-2006
Last Update Date
08-22-2020
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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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
License No.
957
License State
GA
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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

DONNA CARROLL

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(706) 861-7303

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
00434662AMEDICAID (05)GA 

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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 1114014347, 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
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
1
Unchanged
Pos 7
4
Doubled → 8
Pos 8
3
Unchanged
Pos 9
4
Doubled → 8
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 1 → 2 0 → 0 4 → 8 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 2 + 4 + 0 + 1 + 8 + 3 + 8 + 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 1114014347.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114014347, enumerated as an "organization" on October 09, 2006.

The provider is located at 91 CRYE LEIKE DR FORT OGLETHORPE, GA 30742 and the phone number is (706) 861-7303.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

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