EASTSIDE GYNECOLOGY
NPI 1215132527
Obstetrics & Gynecology - Gynecology in Athens, GA
NPI Status: Active since June 18, 2007
Contact Information
1270 PRINCE AVENUE
SUITE 202
ATHENS, GA
ZIP 30606
Phone: (706) 548-4424
Fax: (706) 548-4880
- Organization
- Obstetrics & Gynecology
- Gynecology
- CLIA Number: 11D2201610
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-22-2026
About EASTSIDE GYNECOLOGY
This page provides the complete NPI Profile along with additional information for Eastside Gynecology, a women's health care provider established in Athens, Georgia operating as a Obstetrics & Gynecology, focusing in gynecology . The healthcare provider is registered in the NPI registry with number 1215132527 assigned on June 2007. The practitioner's primary taxonomy code is 207VG0400X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Eastside Gynecology. The authorized official of this NPI record is Dr. Robert Earl Kelley Jr. Md (Physician President)
- NPI
- 1215132527
- Provider Legal Name
- ATHENS GYNECOLOGY PC
- Other Organization Name
- EASTSIDE GYNECOLOGY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1270 PRINCE AVENUE SUITE 202 ATHENS, GA 30606
- Location Phone
- (706) 548-4424
- Location Fax
- (706) 548-4880
- Mailing Address
- 1580 TREE LN PO BOX 325 SNELLVILLE, GA 30078
- Mailing Phone
- (770) 978-7246
- Mailing Fax
- (706) 548-4880
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-18-2007
- Last Update Date
- 04-24-2008
- Code Navigator
Women's health care providers like Eastside Gynecology treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
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
Obstetrics & Gynecology Gynecology
- Taxonomy Code
- 207VG0400X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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.
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 |
|---|---|---|---|
| D40334 | MEDICARE UPIN (02) | ||
| GRP6568 | MEDICARE ID-TYPE UNSPECIFIED (04) | GA | |
| 000084763B | MEDICAID (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
- 11D2201610
- Facility Type
- Physician Office
- Certificate Effective Date
- November 23, 2024
- Certificate Expiration Date
- November 22, 2026
- Laboratory Director
- JOHN SHELNUTT
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Eastside Gynecology 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.
Reviews for EASTSIDE GYNECOLOGY
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 1215132527, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).
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 53 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
ATHENS, GA 30606
ATHENS, GA 30606
ATHENS, GA 30606
ATHENS, GA 30606
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215132527, enumerated as an "organization" on June 18, 2007.
The provider is located at 1270 PRINCE AVENUE SUITE 202 ATHENS, GA 30606 and the phone number is (706) 548-4424.
Obstetrics & Gynecology with taxonomy code 207VG0400X and a focus in Gynecology.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
