GULFSTREAM CHILDREN'S WELLNESS PROGRAM & CENTER
NPI 1235515438
Preventive Medicine - Public Health & General Preventive Medicine in Savannah, GA
NPI Status: Active since August 11, 2015
Contact Information
4700 WATERS AVE
SAVANNAH, GA
ZIP 31404
Phone: (912) 350-5697
Fax: (912) 350-6600
- Organization
- Preventive Medicine
- Public Health & General Preventive Medic...
- CLIA Number: 11D2146642
- CLIA Cert. Type: Ancillary Testing Site in Health Care Center
- CLIA Exp. Date: 04-03-2028
About GULFSTREAM CHILDREN'S WELLNESS PROGRAM & CENTER
This page provides the complete NPI Profile along with additional information for Gulfstream Children's Wellness Program & Center, a provider established in Savannah, Georgia operating as a Preventive Medicine, focusing in public health & general preventive medicine . The healthcare provider is registered in the NPI registry with number 1235515438 assigned on August 2015. The practitioner's primary taxonomy code is 2083P0901X. The provider is registered as an organization and their NPI record was last updated 11 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 Gulfstream Children's Wellness Program & Center. The authorized official of this NPI record is Sebrena C. Holmes Gibson (Provider Enrollment Coordinator)
- NPI
- 1235515438
- Provider Legal Name
- MHUMC, INC.
- Other Organization Name
- GULFSTREAM CHILDREN'S WELLNESS PROGRAM & CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4700 WATERS AVE SAVANNAH, GA 31404
- Location Phone
- (912) 350-5697
- Location Fax
- (912) 350-6600
- Mailing Address
- 4700 WATERS AVE SAVANNAH, GA 31404
- Mailing Phone
- (912) 350-5697
- Mailing Fax
- (912) 350-6600
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-11-2015
- Last Update Date
- 08-11-2015
- 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
Preventive Medicine Public Health & General Preventive Medicine
- Taxonomy Code
- 2083P0901X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
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 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 2 | 2083P0500X | Allopathic & Osteopathic Physicians | Preventive Medicine |
Group Taxonomy 193400000X MULTIPLE 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
- 11D2146642
- Facility Type
- Ancillary Testing Site in Health Care Center
- Certificate Effective Date
- April 04, 2026
- Certificate Expiration Date
- April 03, 2028
- Laboratory Director
- STEPHEN S. YOST
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Gulfstream Children's Wellness Program & Center 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 1235515438, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
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 52 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SAVANNAH, GA 31404
SAVANNAH, GA 31404
SAVANNAH, GA 31404
SAVANNAH, GA 31404
SAVANNAH, GA 31404
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235515438, enumerated as an "organization" on August 11, 2015.
The provider is located at 4700 WATERS AVE SAVANNAH, GA 31404 and the phone number is (912) 350-5697.
Preventive Medicine with taxonomy code 2083P0901X and a focus in Public Health & General Preventive Medicine.
