BRIDGEWAY PALLIATIVE CARE
NPI 1235669045
Internal Medicine - Hospice and Palliative Medicine in Lawrenceville, GA
NPI Status: Active since June 14, 2017
Contact Information
2000 RIVERSIDE PKWY STE 107
LAWRENCEVILLE, GA
ZIP 30043
Phone: (678) 878-3215
Fax: (678) 878-3341
- Organization
- Internal Medicine
- Hospice and Palliative Medicine
- CLIA Number: 11D2103329
- CLIA Cert. Type: Hospice
- CLIA Exp. Date: 10-08-2027
About BRIDGEWAY PALLIATIVE CARE
This page provides the complete NPI Profile along with additional information for Bridgeway Palliative Care, an internist established in Lawrenceville, Georgia operating as a Internal Medicine, focusing in hospice and palliative medicine . The healthcare provider is registered in the NPI registry with number 1235669045 assigned on June 2017. The practitioner's primary taxonomy code is 207RH0002X with license number 067-0428-H (GA). The provider is registered as an organization and their NPI record was last updated 2 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 Bridgeway Palliative Care. The authorized official of this NPI record is Rick Cantrell (Ceo)
- NPI
- 1235669045
- Provider Legal Name
- SB HEALTHCARE, LLC
- Other Organization Name
- BRIDGEWAY PALLIATIVE CARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2000 RIVERSIDE PKWY STE 107 LAWRENCEVILLE, GA 30043
- Location Phone
- (678) 878-3215
- Location Fax
- (678) 878-3341
- Mailing Address
- 1395 SOUTH MARIETTA PKWY BLDG 400 SUITE 102 MARIETTA, GA 30067
- Mailing Phone
- (678) 932-6302
- Mailing Fax
- (678) 878-3341
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-14-2017
- Last Update Date
- 04-22-2024
- Code Navigator
An internist like Bridgeway Palliative Care is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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
Internal Medicine Hospice and Palliative Medicine
- Taxonomy Code
- 207RH0002X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 067-0428-H
- License State
- GA
- Taxonomy Description
- An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
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
- 11D2103329
- Facility Type
- Hospice
- Certificate Effective Date
- October 09, 2025
- Certificate Expiration Date
- October 08, 2027
- Laboratory Director
- TIANA MOHABIR
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Bridgeway Palliative Care 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 1235669045, 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 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 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
LAWRENCEVILLE, GA 30043
LAWRENCEVILLE, GA 30043
LAWRENCEVILLE, GA 30043
LAWRENCEVILLE, GA 30043
LAWRENCEVILLE, GA 30043
LAWRENCEVILLE, GA 30043
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235669045, enumerated as an "organization" on June 14, 2017.
The provider is located at 2000 RIVERSIDE PKWY STE 107 LAWRENCEVILLE, GA 30043 and the phone number is (678) 878-3215.
Internal Medicine with taxonomy code 207RH0002X and a focus in Hospice and Palliative Medicine.
