MEDICI URGENT CARE AND WELLNESS CENTER, LLC
NPI 1225630395
Emergency Medicine in Atlanta, GA
NPI Status: Active since November 12, 2020
Contact Information
1039 GRANT ST SE STE D12
ATLANTA, GA
ZIP 30315
Phone: (678) 736-5248
- Organization
- Emergency Medicine
- CLIA Number: 11D2214289
- CLIA Cert. Type: Other - URGENT CARE
- CLIA Exp. Date: 02-21-2027
About MEDICI URGENT CARE AND WELLNESS CENTER, LLC
This page provides the complete NPI Profile along with additional information for Medici Urgent Care And Wellness Center, Llc, a provider established in Atlanta, Georgia operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1225630395 assigned on November 2020. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 5 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 Medici Urgent Care And Wellness Center, Llc. The authorized official of this NPI record is Dr. Mboh E Elango Md (Ceo/ Owner)
- NPI
- 1225630395
- Provider Legal Name
- MEDICI URGENT CARE AND WELLNESS CENTER
- Other Organization Name
- MEDICI URGENT CARE AND WELLNESS CENTER, LLC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1039 GRANT ST SE STE D12 ATLANTA, GA 30315
- Location Phone
- (678) 736-5248
- Mailing Address
- 1039 GRANT ST SE STE D12 ATLANTA, GA 30315
- Mailing Phone
- (678) 778-6983
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-12-2020
- Last Update Date
- 06-29-2021
- Code Navigator
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
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
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.
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
- 11D2214289
- Facility Type
- Other - URGENT CARE
- Certificate Effective Date
- February 22, 2025
- Certificate Expiration Date
- February 21, 2027
- Laboratory Director
- MBOH ELANGO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Medici Urgent Care And Wellness Center, Llc 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 1225630395, 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 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.
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 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225630395, enumerated as an "organization" on November 12, 2020.
The provider is located at 1039 GRANT ST SE STE D12 ATLANTA, GA 30315 and the phone number is (678) 736-5248.
Emergency Medicine with taxonomy code 207P00000X.
