RICHMOND DD/TASC NOW
NPI 1164753893
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Augusta, GA

NPI Status: Active since January 20, 2010

Contact Information

3421 MIKE PADGETT HWY
AUGUSTA, GA
ZIP 30906
Phone: (706) 432-4858
Fax: (706) 432-3780

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  • Organization
  • Residential Treatment Facility, Intellec...
  • CLIA Number: 11D2276278
  • CLIA Cert. Type: Other - JAIL
  • CLIA Exp. Date: 02-06-2025

About RICHMOND DD/TASC NOW

This page provides the complete NPI Profile along with additional information for Richmond Dd/tasc Now, a provider established in Augusta, Georgia operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1164753893 assigned on January 2010. The practitioner's primary taxonomy code is 320600000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's is doing business as Richmond Dd/tasc Now. The authorized official of this NPI record is Wanda Jessie (Billing Manager)

NPI
1164753893
Provider Legal Name
CSB OF EAST CENTRAL GA
Other Organization Name
RICHMOND DD/TASC NOW
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3421 MIKE PADGETT HWY AUGUSTA, GA 30906
Location Phone
(706) 432-4858
Location Fax
(706) 432-3780
Mailing Address
3421 MIKE PADGETT HWY AUGUSTA, GA 30906
Mailing Phone
(706) 432-4858
Mailing Fax
(706) 432-3780
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-20-2010
Last Update Date
01-22-2010
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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

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320600000X
Type
Residential Treatment Facilities
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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

WANDA JESSIE

Authorized Official Title
BILLING MANAGER
Authorized Official Phone
(706) 432-4858

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
GRP2010MEDICARE PIN (08)GA 
000605833EMEDICAID (05)GA 

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
11D2276278
Facility Type
Other - JAIL
Certificate Effective Date
February 07, 2023
Certificate Expiration Date
February 06, 2025
Laboratory Director
DR. AYODELE AYEDUN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Richmond Dd/tasc Now to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1164753893
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211241456818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 1 + 4 + 5 + 6 + 8 + 1 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1164753893 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

CSB COMMUNITY MENTAL HEALTH CENTER OF EAST CENTRAL GEORGIA

Clinic/Center

(Mental Health (Including Community Mental Health Center))

3421 MIKE PADGETT HWY
AUGUSTA, GA
ZIP 30906

(706) 432-4858

MICHELLE WALKER CARNES I APRN, CNS

Registered Nurse

3421 MIKE PADGETT HWY
AUGUSTA, GA
ZIP 30906

(706) 432-3859

CYNTHIA SUSAN LAKE

Social Worker

3421 MIKE PADGETT HWY
AUGUSTA, GA
ZIP 30906

(706) 432-4872

SUSAN T THISELL CNS

Psychiatry & Neurology

(Psychiatry)

3421 MIKE PADGETT HWY
AUGUSTA, GA
ZIP 30906

(706) 432-4858

JACKLYN P LINDER

Social Worker

3421 MIKE PADGETT HWY
AUGUSTA, GA
ZIP 30906

(706) 432-4760

ROBERT J GERARDOT

Social Worker

3421 MIKE PADGETT HWY
AUGUSTA, GA
ZIP 30906

(706) 432-4868

DEBRA A THOMAS

Social Worker

(Clinical)

3421 MIKE PADGETT HWY
AUGUSTA, GA
ZIP 30906

(706) 432-4760

AUDREY LEE HARDEN

Registered Nurse

3421 MIKE PADGETT HWY
AUGUSTA, GA
ZIP 30906

(706) 678-1395

BRIAN STEVE ALLEN

Registered Nurse

3421 MIKE PADGETT HWY
AUGUSTA, GA
ZIP 30906

(706) 432-4911

SUSAN SHANNON STORY

Psychiatry & Neurology

(Psychiatry)

3421 MIKE PADGETT HWY
AUGUSTA, GA
ZIP 30906

(706) 432-4858

CATHY BERNICE EDMUNDS

Registered Nurse

(Psychiatric/Mental Health)

3421 MIKE PADGETT HWY
AUGUSTA, GA
ZIP 30906

(706) 595-2739

REBECCA ELIZABETH HOOD I

Registered Nurse

(Psychiatric/Mental Health)

3421 MIKE PADGETT HWY
AUGUSTA, GA
ZIP 30906

(706) 432-4861

DOROTHY SMITH DUNN NP

Nurse Practitioner

(Family)

3421 MIKE PADGETT HWY
AUGUSTA, GA
ZIP 30906

(706) 432-7905

MRS. SALLY J FROSTHOLM LPC

Counselor

(Professional)

3421 MIKE PADGETT HWY
AUGUSTA, GA
ZIP 30906

(706) 432-4858

MRS. ROSA J CLEMONS RN

Clinic/Center

(Mental Health (Including Community Mental Health Center))

3421 MIKE PADGETT HWY
AUGUSTA, GA
ZIP 30906

(706) 432-4858

MS. JULIE A MCCRARY L.P.C.

Clinic/Center

(Mental Health (Including Community Mental Health Center))

3421 MIKE PADGETT HWY
AUGUSTA, GA
ZIP 30906

(706) 432-4858

BETTY G YOUNGBLOOD LPC

Clinic/Center

(Mental Health (Including Community Mental Health Center))

3421 MIKE PADGETT HWY
AUGUSTA, GA
ZIP 30906

(706) 432-4858

MRS. CAROL A CALLAHAN RN

Clinic/Center

(Mental Health (Including Community Mental Health Center))

3421 MIKE PADGETT HWY
AUGUSTA, GA
ZIP 30906

(706) 432-4858

JARRETT B BOLIN

Counselor

(Professional)

3421 MIKE PADGETT HWY
AUGUSTA, GA
ZIP 30906

(706) 432-4858

MRS. SHAWN L HENSLEY-MEYERS LAPC

Clinic/Center

(Mental Health (Including Community Mental Health Center))

3421 MIKE PADGETT HWY
AUGUSTA, GA
ZIP 30906

(706) 432-4858

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164753893, enumerated as an "organization" on January 20, 2010.

The provider is located at 3421 MIKE PADGETT HWY AUGUSTA, GA 30906 and the phone number is (706) 432-4858.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

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