TRI STAR DRUG AND ALCOHOL
NPI 1285341503
Clinic/Center in Dublin, GA

NPI Status: Active since November 07, 2022

Contact Information

600 N JEFFERSON ST UNIT C
DUBLIN, GA
ZIP 31021
Phone: (478) 292-5755

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  • Organization
  • Clinic/Center

About TRI STAR DRUG AND ALCOHOL

This page provides the complete NPI Profile along with additional information for Tri Star Drug And Alcohol, a provider established in Dublin, Georgia operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1285341503 assigned on November 2022. 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 authorized official of this NPI record is Mr. John William Goolsby Iii (Admin)

NPI
1285341503
Provider Name
TRI STAR DRUG AND ALCOHOL
Entity Type
Organization
Location Address
600 N JEFFERSON ST UNIT C DUBLIN, GA 31021
Location Phone
(478) 292-5755
Mailing Address
600 N JEFFERSON ST UNIT C DUBLIN, GA 31021
Mailing Phone
(478) 292-5755
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-07-2022
Last Update Date
11-07-2022
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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

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
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).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251E00000XAgencies

Home Health

 
2261QC1500XAmbulatory Health Care Facilities

Clinic/Center
Community Health

 
3261QH0100XAmbulatory Health Care Facilities

Clinic/Center
Health Service

 
4261QX0100XAmbulatory Health Care Facilities

Clinic/Center
Occupational Medicine

 
5332U00000XSuppliers

Home Delivered Meals

 

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

MR. JOHN WILLIAM GOOLSBY III

Authorized Official Title
ADMIN
Authorized Official Phone
(478) 246-1027

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
1421MEDICAID (05)GA 

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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.
1285341503
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2216564250
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 6 + 4 + 2 + 5 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1285341503 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285341503, enumerated as an "organization" on November 07, 2022.

The provider is located at 600 N JEFFERSON ST UNIT C DUBLIN, GA 31021 and the phone number is (478) 292-5755.

Clinic/Center with taxonomy code 261Q00000X.

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