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: 11D2118742
- CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
- CLIA Exp. Date: 09-13-2026
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 10 years ago. Northeast Georgia Physicians Group operates as a Multi-Specialty Group with one or more individual practitioners, 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
- 11D2118742
- Facility Type
- End Stage Renal Disease Dialysis Facility
- Certificate Effective Date
- September 14, 2024
- Certificate Expiration Date
- September 13, 2026
- Laboratory Director
- MARK KATS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Northeast Georgia Physicians Group 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 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 1164885620, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
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 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
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.
