AUGUSTA CENTRE FOR DERMATOLOGY & SKIN RENEWAL LLC
NPI 1255702940
Clinic/Center - Medical Specialty in Augusta, GA

NPI Status: Active since October 07, 2015

Contact Information

3614 J DEWEY GRAY CIR
STE B
AUGUSTA, GA
ZIP 30909
Phone: (706) 447-3909

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  • Organization
  • Clinic/Center
  • Medical Specialty

About AUGUSTA CENTRE FOR DERMATOLOGY & SKIN RENEWAL LLC

This page provides the complete NPI Profile along with additional information for Augusta Centre For Dermatology & Skin Renewal Llc, a provider established in Augusta, Georgia operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1255702940 assigned on October 2015. The practitioner's primary taxonomy code is 261QM2500X with license number 022436 (GA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Mrs. Anne M Loebl Md (Owner)

NPI
1255702940
Provider Name
AUGUSTA CENTRE FOR DERMATOLOGY & SKIN RENEWAL LLC
Entity Type
Organization
Location Address
3614 J DEWEY GRAY CIR STE B AUGUSTA, GA 30909
Location Phone
(706) 447-3909
Mailing Address
3614 J DEWEY GRAY CIR STE B AUGUSTA, GA 30909
Mailing Phone
(706) 447-3909
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-07-2015
Last Update Date
10-07-2015
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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

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
License No.
022436
License State
GA
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MRS. ANNE M LOEBL MD

Authorized Official Title
OWNER
Authorized Official Phone
(706) 447-3909

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
F03076MEDICARE UPIN (02) 
07BBSTVMEDICARE PIN (08) 

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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 1255702940, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 0 + 5 + 1 + 4 + 0 + 4 + 9 + 8 + 24 = 60

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

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

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1255702940.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Specialist
3614 J DEWEY GRAY CIR, SUITE B
AUGUSTA, GA 30909
Pediatrics (Adolescent Medicine)
3614 J DEWEY GRAY CIR
AUGUSTA, GA 30909
Internal Medicine (Cardiovascular Disease)
3614 J DEWEY GRAY CIR, STE A
AUGUSTA, GA 30909
Internal Medicine (Critical Care Medicine)
3614 J DEWEY GRAY CIR, BULDING B
AUGUSTA, GA 30909
Nurse Practitioner (Family)
3614 J DEWEY GRAY CIR
AUGUSTA, GA 30909

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255702940, enumerated as an "organization" on October 07, 2015.

The provider is located at 3614 J DEWEY GRAY CIR STE B AUGUSTA, GA 30909 and the phone number is (706) 447-3909.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.