PICKFORD MEDICAL CLINIC
NPI 1255665170
Clinic/Center in Suwanee, GA
NPI Status: Active since September 24, 2009
Contact Information
7810 MCGINNIS FERRY RD
SUITE #108
SUWANEE, GA
ZIP 30024
Phone: (770) 622-9446
- Organization
- Clinic/Center
- CLIA Number: 11D2000473
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-01-2025
About PICKFORD MEDICAL CLINIC
This page provides the complete NPI Profile along with additional information for Pickford Medical Clinic, a provider established in Suwanee, Georgia operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1255665170 assigned on September 2009. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Pickford Medical Clinic. The authorized official of this NPI record is Dr. Jill Russell M.d. (Member)
- NPI
- 1255665170
- Provider Legal Name
- PICKFORD MEDICAL SERVICES, LLC.
- Other Organization Name
- PICKFORD MEDICAL CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 7810 MCGINNIS FERRY RD SUITE #108 SUWANEE, GA 30024
- Location Phone
- (770) 622-9446
- Mailing Address
- 7325 AMBERLEIGH WAY DULUTH, GA 30097
- Mailing Phone
- (404) 514-4139
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-24-2009
- Last Update Date
- 07-21-2022
- 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
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License State
- GA
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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
- 11D2000473
- Facility Type
- Physician Office
- Certificate Effective Date
- December 02, 2023
- Certificate Expiration Date
- December 01, 2025
- Laboratory Director
- JILL A. RUSSELL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pickford Medical Clinic 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.
Reviews for PICKFORD MEDICAL CLINIC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 5 | 5 | 6 | 6 | 5 | 1 | 7 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 12 | 6 | 10 | 1 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 1 + 2 + 6 + 1 + 0 + 1 + 1 + 4 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1255665170 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
DR. JILL ANNETTE RUSSELL M.D.
Family Medicine
7810 MCGINNIS FERRY RD
SUITE #108
SUWANEE, GA
ZIP 30024
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255665170, enumerated as an "organization" on September 24, 2009.
The provider is located at 7810 MCGINNIS FERRY RD SUITE #108 SUWANEE, GA 30024 and the phone number is (770) 622-9446.
Clinic/Center with taxonomy code 261Q00000X.
