SOUTH FULTON FAMILY FOOT CARE, INC.
NPI 1154536126
Clinic/Center - Podiatric in Fairburn, GA

NPI Status: Active since May 13, 2007

Contact Information

67 W CAMPBELLTON ST
FAIRBURN, GA
ZIP 30213
Phone: (770) 964-2201
Fax: (770) 306-9744

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  • Organization
  • Clinic/Center
  • Podiatric

About SOUTH FULTON FAMILY FOOT CARE, INC.

This page provides the complete NPI Profile along with additional information for South Fulton Family Foot Care, Inc., a provider established in Fairburn, Georgia operating as a Clinic/center, focusing in podiatric . The healthcare provider is registered in the NPI registry with number 1154536126 assigned on May 2007. The practitioner's primary taxonomy code is 261QP1100X with license number 697 (GA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Dr. Rona Renell Green Dpm (Ceo)

NPI
1154536126
Provider Name
SOUTH FULTON FAMILY FOOT CARE, INC.
Entity Type
Organization
Location Address
67 W CAMPBELLTON ST FAIRBURN, GA 30213
Location Phone
(770) 964-2201
Location Fax
(770) 306-9744
Mailing Address
PO BOX 188 FAIRBURN, GA 30213
Mailing Phone
(770) 964-2201
Mailing Fax
(770) 306-9744
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-13-2007
Last Update Date
04-20-2008
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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 Podiatric

Taxonomy Code
261QP1100X
Type
Ambulatory Health Care Facilities
License No.
697
License State
GA

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.

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

DR. RONA RENELL GREEN DPM

Authorized Official Title
CEO
Authorized Official Phone
(770) 964-2201

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
451998OTHER (01)GAGA BCBS NUMBER
U52000MEDICARE UPIN (02)GA 
48SCBKSMEDICARE PIN (08)GA 
4355747OTHER (01)GAGA AETNA PPO NUMBER
697OTHER (01)GAGA STATE LICENSE NUMBER
=========OTHER (01)GAGA TAX ID NUMBER

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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 1154536126, we treat the final digit (6) 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 44. The final step is to find the difference between that total and the next multiple of ten (50 - 44 = 6).

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
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
1
Unchanged
Pos 9
2
Doubled → 4
Check
6
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 5 → 10 → 1 5 → 10 → 1 6 → 12 → 3 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 0 + 4 + 1 + 0 + 3 + 1 + 2 + 1 + 4 + 24 = 44

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

The next multiple of ten after 44 is 50. The difference is the calculated check digit.

50 - 44 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1154536126.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154536126, enumerated as an "organization" on May 13, 2007.

The provider is located at 67 W CAMPBELLTON ST FAIRBURN, GA 30213 and the phone number is (770) 964-2201.

Clinic/Center with taxonomy code 261QP1100X and a focus in Podiatric.

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