PEACHTREE ORTHOPEDICS
NPI 1245085885
Durable Medical Equipment & Medical Supplies in Braselton, GA

NPI Status: Active since April 18, 2024

Contact Information

1524 RIVER PL STE 200
BRASELTON, GA
ZIP 30517
Phone: (404) 355-0743
Fax: (833) 450-5581

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • CLIA Number: 11D2009715
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-11-2026

About PEACHTREE ORTHOPEDICS

This page provides the complete NPI Profile along with additional information for Peachtree Orthopedics, a provider established in Braselton, Georgia operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1245085885 assigned on April 2024. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Peachtree Orthopedics. The authorized official of this NPI record is Tolan Edward Mitchell Cfo (Cfo)

NPI
1245085885
Provider Legal Name
PEACHTREE ORTHOPAEDIC CLINIC, P.A.
Other Organization Name
PEACHTREE ORTHOPEDICS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1524 RIVER PL STE 200 BRASELTON, GA 30517
Location Phone
(404) 355-0743
Location Fax
(833) 450-5581
Mailing Address
2001 PEACHTREE RD NE STE 705 ATLANTA, GA 30309
Mailing Phone
(404) 355-0743
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-18-2024
Last Update Date
04-18-2024
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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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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

TOLAN EDWARD MITCHELL CFO

Authorized Official Title
CFO
Authorized Official Phone
(404) 350-4703

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
11D2009715
Facility Type
Physician Office
Certificate Effective Date
July 12, 2024
Certificate Expiration Date
July 11, 2026
Laboratory Director
WILLIAM SCOTT KIMMERLY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Peachtree Orthopedics 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 1245085885, 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.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
4
Doubled → 8
Pos 4
5
Unchanged
Pos 5
0
Doubled → 0
Pos 6
8
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
8
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
5
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 4 → 8 0 → 0 5 → 10 → 1 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 8 + 5 + 0 + 8 + 1 + 0 + 8 + 1 + 6 + 24 = 65

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.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1245085885.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Orthopaedic Surgery
1524 RIVER PL STE 200
BRASELTON, GA 30517

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245085885, enumerated as an "organization" on April 18, 2024.

The provider is located at 1524 RIVER PL STE 200 BRASELTON, GA 30517 and the phone number is (404) 355-0743.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.