CARTERSVILLE FAMILY DENTISTRY, P.C.
NPI 1134342090
Dentist - General Practice in Cartersville, GA

NPI Status: Active since April 10, 2007

Contact Information

624 N TENNESSEE ST
CARTERSVILLE, GA
ZIP 30120
Phone: (770) 387-9249
Fax: (770) 387-2285

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  • Organization
  • Dentist
  • General Practice
  • CLIA Number: 11D2330150
  • CLIA Cert. Type: Other - MEDICAL FIRST RESPONDER
  • CLIA Exp. Date: 09-10-2027

About CARTERSVILLE FAMILY DENTISTRY, P.C.

This page provides the complete NPI Profile along with additional information for Cartersville Family Dentistry, P.c., a provider established in Cartersville, Georgia operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1134342090 assigned on April 2007. The practitioner's primary taxonomy code is 1223G0001X with license number 11266 (GA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Elizabeth Slocum Dmd (Dentist)

NPI
1134342090
Provider Name
CARTERSVILLE FAMILY DENTISTRY, P.C.
Entity Type
Organization
Location Address
624 N TENNESSEE ST CARTERSVILLE, GA 30120
Location Phone
(770) 387-9249
Location Fax
(770) 387-2285
Mailing Address
624 N TENNESSEE ST CARTERSVILLE, GA 30120
Mailing Phone
(770) 387-9249
Mailing Fax
(770) 387-2285
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-10-2007
Last Update Date
07-14-2008
Code Navigator

A dentist like Cartersville Family Dentistry, P.c. is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
11266
License State
GA
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11223G0001XDental Providers

Dentist
General Practice

11289 (GA)

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

ELIZABETH SLOCUM DMD

Authorized Official Title
DENTIST
Authorized Official Phone
(770) 387-9249

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
11D2330150
Facility Type
Other - MEDICAL FIRST RESPONDER
Certificate Effective Date
September 11, 2025
Certificate Expiration Date
September 10, 2027
Laboratory Director
TRAVIS HENDERSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cartersville Family Dentistry, P.c. 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 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 1134342090, 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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
3
Doubled → 6
Pos 4
4
Unchanged
Pos 5
3
Doubled → 6
Pos 6
4
Unchanged
Pos 7
2
Doubled → 4
Pos 8
0
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
0
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 3 → 6 3 → 6 2 → 4 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 6 + 4 + 6 + 4 + 4 + 0 + 1 + 8 + 24 = 60

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.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1134342090.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist (General Practice)
624 N TENNESSEE ST
CARTERSVILLE, GA 30120

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134342090, enumerated as an "organization" on April 10, 2007.

The provider is located at 624 N TENNESSEE ST CARTERSVILLE, GA 30120 and the phone number is (770) 387-9249.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.