MILLEDGEVILLE VA CLINIC
NPI 1114261211
Clinic/Center - VA in Milledgeville, GA

NPI Status: Active since November 15, 2012

Contact Information

2249 VINSON HWY SE
GEORGIA WAR VETERANS HOME-PETE WHEELER BUILDING
MILLEDGEVILLE, GA
ZIP 31061
Phone: (828) 257-2333

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  • Organization
  • Clinic/Center
  • VA
  • CLIA Number: 11D0646054
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 08-31-2026

About MILLEDGEVILLE VA CLINIC

This page provides the complete NPI Profile along with additional information for Milledgeville Va Clinic, a provider established in Milledgeville, Georgia operating as a Clinic/center, focusing in va . The healthcare provider is registered in the NPI registry with number 1114261211 assigned on November 2012. The practitioner's primary taxonomy code is 261QV0200X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's other name is Milledgeville Va Clinic. The authorized official of this NPI record is Ms. Erin Potter (Npi Team Member)

NPI
1114261211
Provider Legal Name
DUBLIN VAMC
Other Organization Name
MILLEDGEVILLE VA CLINIC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
2249 VINSON HWY SE GEORGIA WAR VETERANS HOME-PETE WHEELER BUILDING MILLEDGEVILLE, GA 31061
Location Phone
(828) 257-2333
Mailing Address
PO BOX 89488 CLEVELAND, OH 44101
Mailing Phone
(828) 257-2333
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-15-2012
Last Update Date
04-17-2018
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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

Clinic/Center VA

Taxonomy Code
261QV0200X
Type
Ambulatory Health Care Facilities

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

MS. ERIN POTTER

Authorized Official Title
NPI TEAM MEMBER
Authorized Official Phone
(202) 382-2579

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
11D0646054
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
AHMAD KABBANI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Milledgeville Va Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1114261211, we treat the final digit (1) 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

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
2
Doubled → 4
Pos 6
6
Unchanged
Pos 7
1
Doubled → 2
Pos 8
2
Unchanged
Pos 9
1
Doubled → 2
Check
1
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 2 → 4 1 → 2 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 2 + 4 + 4 + 6 + 2 + 2 + 2 + 24 = 49

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

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1114261211.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Skilled Nursing Facility
2249 VINSON HWY SE
MILLEDGEVILLE, GA 31061
Speech-Language Pathologist
2249 VINSON HWY SE, SELECT MEDICAL REHAB AT GA WAR VETERANS HOME
MILLEDGEVILLE, GA 31061
Occupational Therapist
2249 VINSON HWY SE
MILLEDGEVILLE, GA 31061
Physical Therapist
2249 VINSON HWY SE
MILLEDGEVILLE, GA 31061
Speech-Language Pathologist
2249 VINSON HWY SE
MILLEDGEVILLE, GA 31061
Physician Assistant (Medical)
2249 VINSON HWY SE
MILLEDGEVILLE, GA 31061
Nurse Practitioner (Family)
2249 VINSON HWY SE
MILLEDGEVILLE, GA 31061
Internal Medicine (Nephrology)
2249 VINSON HWY SE, WHEELER BLDG
MILLEDGEVILLE, GA 31061
Physical Therapist (Geriatrics)
2249 VINSON HWY SE
MILLEDGEVILLE, GA 31061
Occupational Therapy Assistant
2249 VINSON HWY SE
MILLEDGEVILLE, GA 31061
Family Medicine
2249 VINSON HWY SE
MILLEDGEVILLE, GA 31061
Occupational Therapy Assistant
2249 VINSON HWY SE
MILLEDGEVILLE, GA 31061
Nurse Practitioner (Family)
2249 VINSON HWY SE
MILLEDGEVILLE, GA 31061

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114261211, enumerated as an "organization" on November 15, 2012.

The provider is located at 2249 VINSON HWY SE GEORGIA WAR VETERANS HOME-PETE WHEELER BUILDING MILLEDGEVILLE, GA 31061 and the phone number is (828) 257-2333.

Clinic/Center with taxonomy code 261QV0200X and a focus in VA.