PRIME CARE & PATHOLOGY INC
NPI 1144977802
Clinic/Center - Primary Care in Conyers, GA

NPI Status: Active since March 03, 2022

Contact Information

1050 GREEN ST SE
CONYERS, GA
ZIP 30012
Phone: (770) 648-7226
Fax: (770) 648-7211

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  • Organization
  • Clinic/Center
  • Primary Care
  • CLIA Number: 11D2298204
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 01-29-2026

About PRIME CARE & PATHOLOGY INC

This page provides the complete NPI Profile along with additional information for Prime Care & Pathology Inc, a primary care provider established in Conyers, Georgia operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1144977802 assigned on March 2022. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Dr. Jackson L Gates Md (Owner)

NPI
1144977802
Provider Name
PRIME CARE & PATHOLOGY INC
Entity Type
Organization
Location Address
1050 GREEN ST SE CONYERS, GA 30012
Location Phone
(770) 648-7226
Location Fax
(770) 648-7211
Mailing Address
1050 GREEN ST SE CONYERS, GA 30012
Mailing Phone
(770) 648-7226
Mailing Fax
(770) 648-7211
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-03-2022
Last Update Date
03-03-2022
Code Navigator

A primary care provider (PCP) like Prime Care & Pathology Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
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

DR. JACKSON L GATES MD

Authorized Official Title
OWNER
Authorized Official Phone
(678) 591-6509

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
11D2298204
Facility Type
Independent
Certificate Effective Date
January 30, 2024
Certificate Expiration Date
January 29, 2026
Laboratory Director
JACKSON GATES
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Prime Care & Pathology Inc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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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 1144977802, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
Check
2
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 9 → 18 → 9 7 → 14 → 5 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 8 + 4 + 1 + 8 + 7 + 1 + 4 + 8 + 0 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1144977802.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144977802, enumerated as an "organization" on March 03, 2022.

The provider is located at 1050 GREEN ST SE CONYERS, GA 30012 and the phone number is (770) 648-7226.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.