EFFINGHAM OCCUPATIONAL MEDICINE
NPI 1245668417
Preventive Medicine - Occupational Medicine in Port Wentworth, GA
NPI Status: Active since October 24, 2013
Contact Information
7306 GA HIGHWAY 21 STE 105
PORT WENTWORTH, GA
ZIP 31407
Phone: (912) 966-2575
Fax: (912) 966-0906
- Organization
- Preventive Medicine
- Occupational Medicine
- CLIA Number: 11D1105704
- CLIA Cert. Type: Rural Health Clinic
- CLIA Exp. Date: 09-27-2027
About EFFINGHAM OCCUPATIONAL MEDICINE
This page provides the complete NPI Profile along with additional information for Effingham Occupational Medicine, a provider established in Port Wentworth, Georgia operating as a Preventive Medicine, focusing in occupational medicine . The healthcare provider is registered in the NPI registry with number 1245668417 assigned on October 2013. The practitioner's primary taxonomy code is 2083X0100X. 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 provider's is doing business as Effingham Occupational Medicine. The authorized official of this NPI record is Dr. Fran Baker-witt Dnp, Mba, Lnha, Rn (Ceo)
- NPI
- 1245668417
- Provider Legal Name
- EFFINGHAM HOSPITAL, INC.
- Other Organization Name
- EFFINGHAM OCCUPATIONAL MEDICINE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 7306 GA HIGHWAY 21 STE 105 PORT WENTWORTH, GA 31407
- Location Phone
- (912) 966-2575
- Location Fax
- (912) 966-0906
- Mailing Address
- 459 HIGHWAY 119 SOUTH ATTN.: ALIA ALLEN/MEDICAL STAFF OFFICE SPRINGFIELD, GA 31329
- Mailing Phone
- (912) 754-0175
- Mailing Fax
- (912) 966-0906
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-24-2013
- Last Update Date
- 06-07-2021
- 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 Occupational Medicine
- Taxonomy Code
- 2083X0100X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.
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
- 11D1105704
- Facility Type
- Rural Health Clinic
- Certificate Effective Date
- September 28, 2025
- Certificate Expiration Date
- September 27, 2027
- Laboratory Director
- DR. JOHN R. BENNETT
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Effingham Occupational Medicine in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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 1245668417, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
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 63 is 70. 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.
PORT WENTWORTH, GA 31407
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245668417, enumerated as an "organization" on October 24, 2013.
The provider is located at 7306 GA HIGHWAY 21 STE 105 PORT WENTWORTH, GA 31407 and the phone number is (912) 966-2575.
Preventive Medicine with taxonomy code 2083X0100X and a focus in Occupational Medicine.
