HOSPITAL AUTHORITY OF CANDLER COUNTY
NPI 1235715632
Specialist in Metter, GA

NPI Status: Active since March 24, 2021

Contact Information

14 DOCTORS STREET
METTER, GA
ZIP 30439
Phone: (912) 685-5715
Fax: (912) 685-3461

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  • Organization
  • Specialist
  • CLIA Number: 11D2288130
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 08-21-2027

About HOSPITAL AUTHORITY OF CANDLER COUNTY

This page provides the complete NPI Profile along with additional information for Hospital Authority Of Candler County, a provider established in Metter, Georgia operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1235715632 assigned on March 2021. The practitioner's primary taxonomy code is 174400000X. 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 authorized official of this NPI record is Willuck William Bennett (Cfo)

NPI
1235715632
Provider Name
HOSPITAL AUTHORITY OF CANDLER COUNTY
Entity Type
Organization
Location Address
14 DOCTORS STREET METTER, GA 30439
Location Phone
(912) 685-5715
Location Fax
(912) 685-3461
Mailing Address
PO BOX 597 METTER, GA 30439
Mailing Phone
(912) 685-5715
Mailing Fax
(912) 685-3461
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-24-2021
Last Update Date
03-24-2021
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WILLUCK WILLIAM BENNETT

Authorized Official Title
CFO
Authorized Official Phone
(912) 685-1769

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
11D2288130
Facility Type
Rural Health Clinic
Certificate Effective Date
August 22, 2025
Certificate Expiration Date
August 21, 2027
Laboratory Director
MICHAEL A. WILLIAMS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Hospital Authority Of Candler County 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 1235715632, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
3
Doubled → 6
Pos 4
5
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
1
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
2
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 3 → 6 7 → 14 → 5 5 → 10 → 1 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 6 + 5 + 1 + 4 + 1 + 1 + 0 + 6 + 6 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1235715632.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235715632, enumerated as an "organization" on March 24, 2021.

The provider is located at 14 DOCTORS STREET METTER, GA 30439 and the phone number is (912) 685-5715.

Specialist with taxonomy code 174400000X.