NORTHEAST GEORGIA PHYSICIANS GROUP
NPI 1164885620
Dietitian, Registered in Gainesville, GA
NPI Status: Active since April 01, 2016
Contact Information
1075 JESSE JEWELL PKWY
GAINESVILLE, GA
ZIP 30501
Phone: (770) 219-9209
- Organization
- Dietitian, Registered
- CLIA Number: 11D0261374
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-16-2025
About NORTHEAST GEORGIA PHYSICIANS GROUP
This page provides the complete NPI Profile along with additional information for Northeast Georgia Physicians Group, a provider established in Gainesville, Georgia operating as a Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1164885620 assigned on April 2016. The practitioner's primary taxonomy code is 133V00000X with license number LD004565 (GA). The provider is registered as an organization and their NPI record was last updated 9 years ago. Northeast Georgia Physicians Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Miss Jennifer Way Rd, Ld (Dietitian)
- NPI
- 1164885620
- Provider Name
- NORTHEAST GEORGIA PHYSICIANS GROUP
- Entity Type
- Organization
- Location Address
- 1075 JESSE JEWELL PKWY GAINESVILLE, GA 30501
- Location Phone
- (770) 219-9209
- Mailing Address
- 1075 JESSE JEWELL PKWY GAINESVILLE, GA 30501
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-01-2016
- Last Update Date
- 04-01-2016
- Code Navigator
According to the Inpatient Rehabilitation Facility (IRF) Compare program data this facility is government and was certified on 10-01-1990 This facility might have treated people with Medicare who had these medical conditions during the last year: all other conditions, brain disease or condition (non-traumatic), brain injury (traumatic), hip or femur fracture, hip or knee replacement, amputation or other bone or joint condition, nervous system disorder (excluding stroke), spinal cord disease or condition (non-traumatic), spinal cord injury (traumatic) and stroke
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
Dietitian, Registered
- Taxonomy Code
- 133V00000X
- Type
- Dietary & Nutritional Service Providers
- License No.
- LD004565
- License State
- GA
- Taxonomy Description
- A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Inpatient Rehabilitation Information
The Centers for Medicare and Medicaid Services Inpatient Rehabilitation Facility (IRF) data provides information on the quality of care that rehabilitation facilities are providing to their patients. This information can help consumers make informed decisions about health care.
- NORTHEAST GEORGIA PHYSICIANS GROUP has an ownership type of Government
- The facility received it's medicare certification date on 10-01-1990
| Medical Condition | Times Conditions Treated |
|---|---|
| All other conditions | 54 |
| Brain disease or condition (non-traumatic) | 14 |
| Brain injury (traumatic) | 13 |
| Hip or femur fracture | 74 |
| Hip or knee replacement, amputation or other bone or joint condition | 55 |
| Nervous system disorder (excluding stroke) | Less than 11 - The number of cases/patient stays is too small to report. |
| Spinal cord disease or condition (non-traumatic) | 23 |
| Spinal cord injury (traumatic) | Less than 11 - The number of cases/patient stays is too small to report. |
| Stroke | 111 |
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
- 11D0261374
- Facility Type
- Physician Office
- Certificate Effective Date
- November 17, 2023
- Certificate Expiration Date
- November 16, 2025
- Laboratory Director
- ANDRE M. KALLAB
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Northeast Georgia Physicians Group 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 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. | |||||||||
| 1 | 1 | 6 | 4 | 8 | 8 | 5 | 6 | 2 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 12 | 4 | 16 | 8 | 10 | 6 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 2 + 4 + 1 + 6 + 8 + 1 + 0 + 6 + 4 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1164885620 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
KAREN ZINKA
Dietitian, Registered
1075 JESSE JEWELL PKWY
SUITE B
GAINESVILLE, GA
ZIP 30501
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164885620, enumerated as an "organization" on April 01, 2016.
The provider is located at 1075 JESSE JEWELL PKWY GAINESVILLE, GA 30501 and the phone number is (770) 219-9209.
Dietitian, Registered with taxonomy code 133V00000X.
