ADVANTAGE BEHAVIORAL HEALTH SYSTEMS
NPI 1215420690
Clinic/Center - Developmental Disabilities in Madison, GA

NPI Status: Active since June 11, 2018

Contact Information

1801 PROSPECT RD.
MADISON, GA
ZIP 30650
Phone: (706) 389-6789
Fax: (706) 389-6768

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  • Organization
  • Clinic/Center
  • Developmental Disabilities
  • CLIA Number: 11D2016505
  • CLIA Cert. Type: Other - COMMUNITY SERVICE BOARD
  • CLIA Exp. Date: 11-17-2026

About ADVANTAGE BEHAVIORAL HEALTH SYSTEMS

This page provides the complete NPI Profile along with additional information for Advantage Behavioral Health Systems, a provider established in Madison, Georgia operating as a Clinic/center, focusing in developmental disabilities . The healthcare provider is registered in the NPI registry with number 1215420690 assigned on June 2018. The practitioner's primary taxonomy code is 261QD1600X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Mr. Oliver J Booker (Ceo)

NPI
1215420690
Provider Name
ADVANTAGE BEHAVIORAL HEALTH SYSTEMS
Entity Type
Organization
Location Address
1801 PROSPECT RD. MADISON, GA 30650
Location Phone
(706) 389-6789
Location Fax
(706) 389-6768
Mailing Address
250 NORTH AVE ATHENS, GA 30601
Mailing Phone
(706) 389-6789
Mailing Fax
(706) 389-6768
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-11-2018
Last Update Date
06-11-2018
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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

Clinic/Center Developmental Disabilities

Taxonomy Code
261QD1600X
Type
Ambulatory Health Care Facilities
License State
GA
Taxonomy Description
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

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

MR. OLIVER J BOOKER

Authorized Official Title
CEO
Authorized Official Phone
(706) 389-6789

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
000631562FKMEDICAID (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
11D2016505
Facility Type
Other - COMMUNITY SERVICE BOARD
Certificate Effective Date
November 18, 2024
Certificate Expiration Date
November 17, 2026
Laboratory Director
YOGESH GOSWAMI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Advantage Behavioral Health Systems 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 1215420690, 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.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
1
Doubled → 2
Pos 4
5
Unchanged
Pos 5
4
Doubled → 8
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
0
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 1 → 2 4 → 8 0 → 0 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 2 + 5 + 8 + 2 + 0 + 6 + 1 + 8 + 24 = 60

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.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1215420690.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215420690, enumerated as an "organization" on June 11, 2018.

The provider is located at 1801 PROSPECT RD. MADISON, GA 30650 and the phone number is (706) 389-6789.

Clinic/Center with taxonomy code 261QD1600X and a focus in Developmental Disabilities.

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