MR. JACOB CARSON CSFA
NPI 1174230320
Specialist/Technologist, Other - Surgical Assistant in Woodstock, GA

NPI Status: Active since October 27, 2022

Contact Information

5341 HOLLY SPRINGS PKWY STE 207-106
WOODSTOCK, GA
ZIP 30188
Phone: (214) 227-2457
Fax: (214) 764-0880

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  • Individual
  • Male
  • Specialist/Technologist, Other
  • Surgical Assistant

About JACOB CARSON

This page provides the complete NPI Profile along with additional information for Jacob Carson, a provider established in Woodstock, Georgia with a medical specialization in Specialist/technologist, Other, focusing in surgical assistant . The healthcare provider is registered in the NPI registry with number 1174230320 assigned on October 2022. The practitioner's primary taxonomy code is 246ZC0007X with license number 213549 (GA). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1174230320
Provider Name
MR. JACOB CARSON CSFA
Gender
Male
Entity Type
Individual
Location Address
5341 HOLLY SPRINGS PKWY STE 207-106 WOODSTOCK, GA 30188
Location Phone
(214) 227-2457
Location Fax
(214) 764-0880
Mailing Address
PO BOX 2550 ROWLETT, TX 75030
Mailing Phone
(214) 227-2457
Mailing Fax
(214) 764-0880
Is Sole Proprietor?
Yes
Enumeration Date
10-27-2022
Last Update Date
06-10-2024
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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

Specialist/Technologist, Other Surgical Assistant

Taxonomy Code
246ZC0007X
Type
Technologists, Technicians & Other Technical Service Providers
License No.
213549
License State
GA
Taxonomy Description
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.

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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.
1174230320
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2114443034
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 4 + 3 + 0 + 3 + 4 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1174230320 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174230320, enumerated as an "individual" on October 27, 2022.

The provider is located at 5341 HOLLY SPRINGS PKWY STE 207-106 WOODSTOCK, GA 30188 and the phone number is (214) 227-2457.

Specialist/Technologist, Other with taxonomy code 246ZC0007X and a focus in Surgical Assistant.