SOUTHERN PAIN INSTITUTE
NPI 1174836845
Pharmacy - Community/Retail Pharmacy in Conyers, GA

NPI Status: Active since July 22, 2010

Contact Information

1501 MILSTEAD RD NE STE 140
CONYERS, GA
ZIP 30012
Phone: (770) 632-3730
Fax: (770) 632-3731

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy

About SOUTHERN PAIN INSTITUTE

This page provides the complete NPI Profile along with additional information for Southern Pain Institute, a provider established in Conyers, Georgia operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1174836845 assigned on July 2010. The practitioner's primary taxonomy code is 3336C0003X with license number PHRE009658 (GA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Southern Pain Institute. The authorized official of this NPI record is Lynn Clavo (Pic)

NPI
1174836845
Provider Legal Name
SOUTHERN PAIN INSTITUTE P C
Other Organization Name
SOUTHERN PAIN INSTITUTE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1501 MILSTEAD RD NE STE 140 CONYERS, GA 30012
Location Phone
(770) 632-3730
Location Fax
(770) 632-3731
Mailing Address
1975 HIGHWAY 54 W STE 100 PEACHTREE CITY, GA 30269
Mailing Phone
(770) 313-3380
Mailing Fax
(770) 632-3731
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-22-2010
Last Update Date
02-24-2015
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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

Pharmacy Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
License No.
PHRE009658
License State
GA
Taxonomy Description
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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

LYNN CLAVO

Authorized Official Title
PIC
Authorized Official Phone
(770) 632-3730

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
003100329AMEDICAID (05)GA 
2125516OTHER (01)PK

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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 1174836845, 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
8
Unchanged
Pos 9
4
Doubled → 8
Check
5
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 7 → 14 → 5 8 → 16 → 7 6 → 12 → 3 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 4 + 4 + 1 + 6 + 3 + 1 + 2 + 8 + 8 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1174836845.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (Radiology)
1501 MILSTEAD RD NE STE 140
CONYERS, GA 30012

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174836845, enumerated as an "organization" on July 22, 2010.

The provider is located at 1501 MILSTEAD RD NE STE 140 CONYERS, GA 30012 and the phone number is (770) 632-3730.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

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