CHATTOOGA COUNTY EMERGENCY MEDICAL SERVICE
NPI 1124137211
Ambulance - Land Transport in Summerville, GA

NPI Status: Active since August 30, 2006

Contact Information

200 STOCKADE RD
SUMMERVILLE, GA
ZIP 30747
Phone: (706) 857-0734
Fax: (706) 857-0731

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  • Organization
  • Ambulance
  • Land Transport
  • CLIA Number: 11D1078165
  • CLIA Cert. Type: Other - COUNTY JAIL
  • CLIA Exp. Date: 07-12-2026

About CHATTOOGA COUNTY EMERGENCY MEDICAL SERVICE

This page provides the complete NPI Profile along with additional information for Chattooga County Emergency Medical Service, a provider established in Summerville, Georgia operating as a Ambulance, focusing in land transport . The healthcare provider is registered in the NPI registry with number 1124137211 assigned on August 2006. The practitioner's primary taxonomy code is 3416L0300X with license number 027-04 (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 Mr. Herbert Alton Dodd (Director)

NPI
1124137211
Provider Name
CHATTOOGA COUNTY EMERGENCY MEDICAL SERVICE
Entity Type
Organization
Location Address
200 STOCKADE RD SUMMERVILLE, GA 30747
Location Phone
(706) 857-0734
Location Fax
(706) 857-0731
Mailing Address
200 STOCKADE RD SUMMERVILLE, GA 30747
Mailing Phone
(706) 857-0734
Mailing Fax
(706) 857-0731
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-30-2006
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

Ambulance Land Transport

Taxonomy Code
3416L0300X
Type
Transportation Services
License No.
027-04
License State
GA

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

MR. HERBERT ALTON DODD

Authorized Official Title
DIRECTOR
Authorized Official Phone
(706) 857-0734

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
11D1078165
Facility Type
Other - COUNTY JAIL
Certificate Effective Date
July 13, 2024
Certificate Expiration Date
July 12, 2026
Laboratory Director
DAVID GOWDY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Chattooga County Emergency Medical Service 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 1124137211, 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
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
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 2 → 4 1 → 2 7 → 14 → 5 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 4 + 4 + 2 + 3 + 1 + 4 + 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 1124137211.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124137211, enumerated as an "organization" on August 30, 2006.

The provider is located at 200 STOCKADE RD SUMMERVILLE, GA 30747 and the phone number is (706) 857-0734.

Ambulance with taxonomy code 3416L0300X and a focus in Land Transport.