MAYO CLINIC HEALTH SYSTEM IN WAYCROSS, INC.
NPI 1154745982
Clinic/Center - Multi-Specialty in Waycross, GA

NPI Status: Active since February 14, 2014

Contact Information

1900 TEBEAU ST
WAYCROSS, GA
ZIP 31501
Phone: (912) 283-3030

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  • Organization
  • Clinic/Center
  • Multi-Specialty

About MAYO CLINIC HEALTH SYSTEM IN WAYCROSS, INC.

This page provides the complete NPI Profile along with additional information for Mayo Clinic Health System In Waycross, Inc., a provider established in Waycross, Georgia operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1154745982 assigned on February 2014. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's former legal business name is Mayo Clinic Health System Physicians In Waycross, Inc.. The authorized official of this NPI record is George Hoffman (Cfo)

NPI
1154745982
Provider Legal Name
MAYO CLINIC HEALTH SYSTEM IN WAYCROSS, INC.
Other Organization Name
MAYO CLINIC HEALTH SYSTEM PHYSICIANS IN WAYCROSS, INC.
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
1900 TEBEAU ST WAYCROSS, GA 31501
Location Phone
(912) 283-3030
Mailing Address
1900 TEBEAU ST WAYCROSS, GA 31501
Mailing Phone
(912) 283-3030
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-14-2014
Last Update Date
08-15-2016
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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 Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

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.

*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

GEORGE HOFFMAN

Authorized Official Title
CFO
Authorized Official Phone
(912) 287-4213

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
HOSP115MEDICARE PIN (08)GA 
CJ0931OTHER (01)RAILROAD PTAN

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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 1154745982, 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 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
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
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 5 → 10 → 1 7 → 14 → 5 5 → 10 → 1 8 → 16 → 7

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 + 4 + 4 + 1 + 0 + 9 + 1 + 6 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1154745982.

Other Providers at the Same Location


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

Nurse Anesthetist, Certified Registered
1900 TEBEAU ST
WAYCROSS, GA 31501
Internal Medicine (Pulmonary Disease)
1900 TEBEAU ST, MAYO HEALTH CLINIC
WAYCROSS, GA 31501
Physician Assistant
1900 TEBEAU ST
WAYCROSS, GA 31501
Nurse Practitioner (Acute Care)
1900 TEBEAU ST
WAYCROSS, GA 31501
Physician Assistant
1900 TEBEAU ST, SATILLA MAYO EMERGENCY DEPARTMENT
WAYCROSS, GA 31501
Dietitian, Registered
1900 TEBEAU ST
WAYCROSS, GA 31501
Hospitalist
1900 TEBEAU ST
WAYCROSS, GA 31501
Radiology (Diagnostic Radiology)
1900 TEBEAU ST
WAYCROSS, GA 31501
Dietitian, Registered
1900 TEBEAU ST
WAYCROSS, GA 31501
Dietitian, Registered
1900 TEBEAU ST
WAYCROSS, GA 31501
Nurse Practitioner (Family)
1900 TEBEAU ST
WAYCROSS, GA 31501
Rehabilitation Unit
1900 TEBEAU ST
WAYCROSS, GA 31501
Radiology (Diagnostic Radiology)
1900 TEBEAU ST
WAYCROSS, GA 31501
Nurse Practitioner (Family)
1900 TEBEAU ST
WAYCROSS, GA 31501
Pathology (Anatomic Pathology & Clinical Pathology)
1900 TEBEAU ST
WAYCROSS, GA 31501
Nurse Anesthetist, Certified Registered
1900 TEBEAU ST
WAYCROSS, GA 31501
Emergency Medicine
1900 TEBEAU ST
WAYCROSS, GA 31501
Nurse Practitioner
1900 TEBEAU ST
WAYCROSS, GA 31501
Hospitalist
1900 TEBEAU ST
WAYCROSS, GA 31501
Anesthesiology
1900 TEBEAU ST
WAYCROSS, GA 31501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154745982, enumerated as an "organization" on February 14, 2014.

The provider is located at 1900 TEBEAU ST WAYCROSS, GA 31501 and the phone number is (912) 283-3030.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

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