PIONEER COMMUNITY CARE
NPI 1285277566
Clinic/Center - Primary Care in Athens, GA

NPI Status: Active since October 19, 2019

Contact Information

740 PRINCE AVE STE 8B
ATHENS, GA
ZIP 30606
Phone: (706) 389-5513

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  • Organization
  • Clinic/Center
  • Primary Care
  • CLIA Number: 11D2178267
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-29-2026

About PIONEER COMMUNITY CARE

This page provides the complete NPI Profile along with additional information for Pioneer Community Care, a primary care provider established in Athens, Georgia operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1285277566 assigned on October 2019. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's other name is Pioneer Community Care. The authorized official of this NPI record is Aynaddis Fekadu (Aprn)

NPI
1285277566
Provider Legal Name
PIONEER COMMUNITY CARE LLC
Other Organization Name
PIONEER COMMUNITY CARE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
740 PRINCE AVE STE 8B ATHENS, GA 30606
Location Phone
(706) 389-5513
Mailing Address
740 PRINCE AVE STE 8B ATHENS, GA 30606
Mailing Phone
(706) 389-5513
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-19-2019
Last Update Date
01-18-2024
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A primary care provider (PCP) like Pioneer Community Care sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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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 Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities

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

AYNADDIS FEKADU

Authorized Official Title
APRN
Authorized Official Phone
(706) 389-5513

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
11D2178267
Facility Type
Physician Office
Certificate Effective Date
January 30, 2024
Certificate Expiration Date
January 29, 2026
Laboratory Director
AYNADDIS FEKADU
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pioneer Community Care 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 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.
1285277566
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221654714512
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 4 + 7 + 1 + 4 + 5 + 1 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1285277566 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

MRS. DANIELLE LOUISE MANRY PT, DPT

Physical Therapist

740 PRINCE AVE STE 8B
ATHENS, GA
ZIP 30606

(762) 315-0860

CHRISTOPHER ANDREW CARTER DPT

Physical Therapist

740 PRINCE AVE STE 8B
ATHENS, GA
ZIP 30606

(762) 315-0860

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285277566, enumerated as an "organization" on October 19, 2019.

The provider is located at 740 PRINCE AVE STE 8B ATHENS, GA 30606 and the phone number is (706) 389-5513.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.