SOUTH GEORGIA ALLERGY CLINIC PC
NPI 1285810366
Allergy & Immunology in Brunswick, GA

NPI Status: Active since January 18, 2008

Contact Information

2601 PARKWOOD DR
SUITE B
BRUNSWICK, GA
ZIP 31520
Phone: (912) 262-9288
Fax: (912) 262-9994

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  • Organization
  • Allergy & Immunology

About SOUTH GEORGIA ALLERGY CLINIC PC

This page provides the complete NPI Profile along with additional information for South Georgia Allergy Clinic Pc, a provider established in Brunswick, Georgia operating as a Allergy & Immunology. The healthcare provider is registered in the NPI registry with number 1285810366 assigned on January 2008. The practitioner's primary taxonomy code is 207K00000X with license number GA023506 (GA). The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Kelly M Dirting Cpc (Billing Mgr)

NPI
1285810366
Provider Name
SOUTH GEORGIA ALLERGY CLINIC PC
Entity Type
Organization
Location Address
2601 PARKWOOD DR SUITE B BRUNSWICK, GA 31520
Location Phone
(912) 262-9288
Location Fax
(912) 262-9994
Mailing Address
PO BOX 1813 BRUNSWICK, GA 31521
Mailing Phone
(912) 262-9288
Mailing Fax
(912) 262-9994
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-18-2008
Last Update Date
11-29-2021
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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

Allergy & Immunology

Taxonomy Code
207K00000X
Type
Allopathic & Osteopathic Physicians
License No.
GA023506
License State
GA
Taxonomy Description
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

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.

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

KELLY M DIRTING CPC

Authorized Official Title
BILLING MGR
Authorized Official Phone
(912) 262-9289

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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.
1285810366
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221651610312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 6 + 1 + 0 + 3 + 1 + 2 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1285810366 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 4 providers are registered at the same or nearby location.

KATHARINA'S INC.

Durable Medical Equipment & Medical Supplies

2601 PARKWOOD DR
BRUNSWICK, GA
ZIP 31520

(912) 264-3939

ALLERGY ONE, LLC

Allergy & Immunology

2601 PARKWOOD DR
SUITE B
BRUNSWICK, GA
ZIP 31520

(706) 389-8022

JESSICA FREE MS CCC-SLP

Speech-Language Pathologist

2601 PARKWOOD DR
SUITE E
BRUNSWICK, GA
ZIP 31520

(912) 996-2069

AMELIA HARPER FRITCHMAN MED CCC-SLP

Speech-Language Pathologist

2601 PARKWOOD DR
SUITE E
BRUNSWICK, GA
ZIP 31520

(912) 996-2069

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285810366, enumerated as an "organization" on January 18, 2008.

The provider is located at 2601 PARKWOOD DR SUITE B BRUNSWICK, GA 31520 and the phone number is (912) 262-9288.

Allergy & Immunology with taxonomy code 207K00000X.