SOUTHERN LIGHT OSTEOPATHIC WELLNESS & HEALTHCARE ASSOCIATES, INC.
NPI 1235204603
Clinic/Center - Medical Specialty in Richmond Hill, GA
NPI Status: Active since November 21, 2006
Contact Information
4164 COASTAL HWY US 17 S
RICHMOND HILL, GA
ZIP 31324
Phone: (912) 756-7014
Fax: (912) 756-7037
- Organization
- Clinic/Center
- Medical Specialty
- CLIA Number: 11D0972785
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-17-2026
About SOUTHERN LIGHT OSTEOPATHIC WELLNESS & HEALTHCARE ASSOCIATES, INC.
This page provides the complete NPI Profile along with additional information for Southern Light Osteopathic Wellness & Healthcare Associates, Inc., a provider established in Richmond Hill, Georgia operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1235204603 assigned on November 2006. The practitioner's primary taxonomy code is 261QM2500X with license number 042536 (GA). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's
- NPI
- 1235204603
- Provider Legal Name
- SOUTHERN LIGHT OSTEOPATHIC WELLNESS & HEALTHCARE ASSOCIATES, INC.
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 4164 COASTAL HWY US 17 S RICHMOND HILL, GA 31324
- Location Phone
- (912) 756-7014
- Location Fax
- (912) 756-7037
- Mailing Address
- PO BOX 1979 RICHMOND HILL, GA 31324
- Mailing Phone
- (912) 756-7014
- Mailing Fax
- (912) 756-7037
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-21-2006
- Last Update Date
- 09-11-2025
- 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
Clinic/Center Medical Specialty
- Taxonomy Code
- 261QM2500X
- Type
- Ambulatory Health Care Facilities
- License No.
- 042536
- License State
- GA
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QU0200X | Ambulatory Health Care Facilities | Clinic/Center | 042536 (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
- 11D0972785
- Facility Type
- Physician Office
- Certificate Effective Date
- April 18, 2024
- Certificate Expiration Date
- April 17, 2026
- Laboratory Director
- THOMAS R. BYRNES JR
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Southern Light Osteopathic Wellness & Healthcare Associates, Inc. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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 1235204603, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
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 57 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235204603, enumerated as an "organization" on November 21, 2006.
The provider is located at 4164 COASTAL HWY US 17 S RICHMOND HILL, GA 31324 and the phone number is (912) 756-7014.
Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.
