PERFORMANCE PEDIATRICS AND SPORTS MEDICINE, LLC
NPI 1295081321
Pediatrics - Sports Medicine in Bogart, GA
NPI Status: Active since July 26, 2012
Contact Information
1181 LANGFORD DR
BLDG 200-101
BOGART, GA
ZIP 30622
Phone: (706) 207-6694
- Organization
- Pediatrics
- Sports Medicine
About PERFORMANCE PEDIATRICS AND SPORTS MEDICINE, LLC
This page provides the complete NPI Profile along with additional information for Performance Pediatrics And Sports Medicine, Llc, a pediatrician established in Bogart, Georgia operating as a Pediatrics, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1295081321 assigned on July 2012. The practitioner's primary taxonomy code is 2080S0010X with license number 58543 (GA). The provider is registered as an organization and their NPI record was last updated 14 years ago. Performance Pediatrics And Sports Medicine, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Tara Ann Merritt M.d. (Owner Physician)
- NPI
- 1295081321
- Provider Name
- PERFORMANCE PEDIATRICS AND SPORTS MEDICINE, LLC
- Entity Type
- Organization
- Location Address
- 1181 LANGFORD DR BLDG 200-101 BOGART, GA 30622
- Location Phone
- (706) 207-6694
- Mailing Address
- 1181 LANGFORD DR BLDG 200-101 BOGART, GA 30622
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-26-2012
- Last Update Date
- 07-26-2012
- Code Navigator
A pediatrician like Performance Pediatrics And Sports Medicine, Llc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
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
Pediatrics Sports Medicine
- Taxonomy Code
- 2080S0010X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 58543
- License State
- GA
- Taxonomy Description
- A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
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) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | 58543 (GA) |
| 2 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | 58543 (GA) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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.
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 |
|---|---|---|---|
| 58543 | OTHER (01) | GA | STATE MEDICAL LICENSE |
| 489449582C | MEDICAID (05) | GA | |
| 003125239A | MEDICAID (05) | GA |
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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 1295081321, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
BOGART, GA 30622
BOGART, GA 30622
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295081321, enumerated as an "organization" on July 26, 2012.
The provider is located at 1181 LANGFORD DR BLDG 200-101 BOGART, GA 30622 and the phone number is (706) 207-6694.
Pediatrics with taxonomy code 2080S0010X and a focus in Sports Medicine.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
