TIFT REGIONAL MEDICAL CENTER D/B/A SOUTH GEORGIA VASCULAR CLINIC
NPI 1144454059
Surgery - Vascular Surgery in Tifton, GA

NPI Status: Active since May 06, 2009

Contact Information

901 18TH ST E
TIFTON, GA
ZIP 31794
Phone: (229) 382-9733
Fax: (229) 387-6161

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  • Organization
  • Surgery
  • Vascular Surgery

About TIFT REGIONAL MEDICAL CENTER D/B/A SOUTH GEORGIA VASCULAR CLINIC

This page provides the complete NPI Profile along with additional information for Tift Regional Medical Center D/b/a South Georgia Vascular Clinic, a provider established in Tifton, Georgia operating as a Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1144454059 assigned on May 2009. The practitioner's primary taxonomy code is 2086S0129X with license number 031466 (GA). The provider is registered as an organization and their NPI record was last updated 17 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 provider's is doing business as Tift Regional Medical Center D/b/a South Georgia Vascular Clinic. The authorized official of this NPI record is Mr. Dennis Crum (Vp/cfo)

NPI
1144454059
Provider Legal Name
SOUTH GEORGIA VASCULAR CLINIC
Other Organization Name
TIFT REGIONAL MEDICAL CENTER D/B/A SOUTH GEORGIA VASCULAR CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
901 18TH ST E TIFTON, GA 31794
Location Phone
(229) 382-9733
Location Fax
(229) 387-6161
Mailing Address
901 18TH ST E TIFTON, GA 31794
Mailing Phone
(229) 382-9733
Mailing Fax
(229) 387-6161
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-06-2009
Last Update Date
05-06-2009
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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

Surgery Vascular Surgery

Taxonomy Code
2086S0129X
Type
Allopathic & Osteopathic Physicians
License No.
031466
License State
GA
Taxonomy Description
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Group Taxonomy 193400000X 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.

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.

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

MR. DENNIS CRUM

Authorized Official Title
VP/CFO
Authorized Official Phone
(229) 353-6146

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
205810921CMEDICAID (05)GA 
H95175MEDICARE PIN (08)GA 
1003883612OTHER (01)GANPI/WILLIAM KAISER, MD
1154356889OTHER (01)GANPI/BRAD HOLT PA
HOSP29MEDICARE PIN (08)GA 

Reviews for TIFT REGIONAL MEDICAL CENTER D/B/A SOUTH GEORGIA VASCULAR CLINIC

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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 1144454059, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
4
Doubled → 8
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
5
Unchanged
Pos 7
4
Doubled → 8
Pos 8
0
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
9
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 4 → 8 4 → 8 4 → 8 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 8 + 4 + 8 + 5 + 8 + 0 + 1 + 0 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1144454059.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
901 18TH ST E
TIFTON, GA 31794
Radiology (Diagnostic Radiology)
901 18TH ST E
TIFTON, GA 31794
Radiology (Diagnostic Radiology)
901 18TH ST E
TIFTON, GA 31794
Radiology (Diagnostic Radiology)
901 18TH ST E
TIFTON, GA 31794
Rehabilitation Unit
901 18TH ST E
TIFTON, GA 31794
Nurse Anesthetist, Certified Registered
901 18TH ST E
TIFTON, GA 31794
Nurse Anesthetist, Certified Registered
901 18TH ST E
TIFTON, GA 31794
Emergency Medicine
901 18TH ST E
TIFTON, GA 31794
Physician Assistant
901 18TH ST E
TIFTON, GA 31794
Emergency Medicine
901 18TH ST E
TIFTON, GA 31794
Nutritionist
901 18TH ST E
TIFTON, GA 31794
Nurse Anesthetist, Certified Registered
901 18TH ST E
TIFTON, GA 31794
Nurse Anesthetist, Certified Registered
901 18TH ST E
TIFTON, GA 31794
Nurse Anesthetist, Certified Registered
901 18TH ST E
TIFTON, GA 31794
Nurse Anesthetist, Certified Registered
901 18TH ST E
TIFTON, GA 31794
Nutritionist
901 18TH ST E
TIFTON, GA 31794
Dietitian, Registered
901 18TH ST E
TIFTON, GA 31794
Nurse Practitioner (Adult Health)
901 18TH ST E
TIFTON, GA 31794
Emergency Medicine
901 18TH ST E
TIFTON, GA 31794
Physical Therapist
901 18TH ST E
TIFTON, GA 31794

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144454059, enumerated as an "organization" on May 06, 2009.

The provider is located at 901 18TH ST E TIFTON, GA 31794 and the phone number is (229) 382-9733.

Surgery with taxonomy code 2086S0129X and a focus in Vascular Surgery.

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