LAKE OCONEE URGENT AND SPECIALTY CARE CENTER
NPI 1235547431
Physician Assistant - Medical in Eatonton, GA
NPI Status: Active since July 31, 2014
Contact Information
105 HARMONY XING
SUITE 3
EATONTON, GA
ZIP 31024
Phone: (706) 484-0884
- Organization
- Physician Assistant
- Medical
- CLIA Number: 11D2021852
- CLIA Cert. Type: Other - URGENT CARE
- CLIA Exp. Date: 07-07-2026
About LAKE OCONEE URGENT AND SPECIALTY CARE CENTER
This page provides the complete NPI Profile along with additional information for Lake Oconee Urgent And Specialty Care Center, a primary care provider established in Eatonton, Georgia operating as a Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1235547431 assigned on July 2014. The practitioner's primary taxonomy code is 363AM0700X with license number 7235 (GA). The provider is registered as an organization and their NPI record was last updated 12 years ago. Lake Oconee Urgent And Specialty Care Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Eddie Richardson M.d. (Physician/practice Owner)
- NPI
- 1235547431
- Provider Name
- LAKE OCONEE URGENT AND SPECIALTY CARE CENTER
- Entity Type
- Organization
- Location Address
- 105 HARMONY XING SUITE 3 EATONTON, GA 31024
- Location Phone
- (706) 484-0884
- Mailing Address
- 1881 LANCASTER DR SE CONYERS, GA 30013
- Mailing Phone
- (404) 405-7596
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-31-2014
- Last Update Date
- 07-31-2014
- Code Navigator
A primary care provider (PCP) like Lake Oconee Urgent And Specialty Care Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 7235
- License State
- GA
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas 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
- 11D2021852
- Facility Type
- Other - URGENT CARE
- Certificate Effective Date
- July 08, 2024
- Certificate Expiration Date
- July 07, 2026
- Laboratory Director
- EDDIE RICHARDSON JR
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Lake Oconee Urgent And Specialty Care 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 1235547431, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
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 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
EATONTON, GA 31024
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235547431, enumerated as an "organization" on July 31, 2014.
The provider is located at 105 HARMONY XING SUITE 3 EATONTON, GA 31024 and the phone number is (706) 484-0884.
Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.
