BETHANY MISSIONARY BAPTIST CHURCH
NPI 1164353405
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Ty Ty, GA
NPI Status: Active since May 26, 2026
Contact Information
146 TY TY SYCAMORE RD
TY TY, GA
ZIP 31795
Phone: (678) 986-1436
This NPI profile has been added to the NPI registry within the last 30 days.
- Organization
- Program of All-Inclusive Care for the El...
About BETHANY MISSIONARY BAPTIST CHURCH
This page provides the complete NPI Profile along with additional information for Bethany Missionary Baptist Church, a provider established in Ty Ty, Georgia operating as a Program Of All-inclusive Care For The Elderly (pace) Provider Organization. The healthcare provider is registered in the NPI registry with number 1164353405 assigned on May 2026. The practitioner's primary taxonomy code is 251T00000X. The provider is registered as an organization and their NPI record was last updated May 2026. The authorized official of this NPI record is Samuel Lee Pridgon (Pastor/ceo)
- NPI
- 1164353405
- Provider Name
- BETHANY MISSIONARY BAPTIST CHURCH
- Entity Type
- Organization
- Location Address
- 146 TY TY SYCAMORE RD TY TY, GA 31795
- Location Phone
- (678) 986-1436
- Mailing Address
- 146 TY TY SYCAMORE RD TY TY, GA 31795
- Mailing Phone
- (678) 986-1436
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-26-2026
- Last Update Date
- 05-26-2026
- Code Navigator
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
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
- Taxonomy Code
- 251T00000X
- Type
- Agencies
- Taxonomy Description
- A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
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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 1164353405, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164353405, enumerated as an "organization" on May 26, 2026.
The provider is located at 146 TY TY SYCAMORE RD TY TY, GA 31795 and the phone number is (678) 986-1436.
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.
