COLQUITT REGIONAL PAIN CLINIC, LLC
NPI 1295192391
Anesthesiology - Pain Medicine in Moultrie, GA
NPI Status: Active since January 20, 2016
Contact Information
3131 S MAIN ST
MOULTRIE, GA
ZIP 31768
Phone: (229) 985-3420
- Organization
- Anesthesiology
- Pain Medicine
- CLIA Number: 11D2135673
- CLIA Cert. Type: School/Student Health Service
- CLIA Exp. Date: 08-24-2027
About COLQUITT REGIONAL PAIN CLINIC, LLC
This page provides the complete NPI Profile along with additional information for Colquitt Regional Pain Clinic, Llc, a provider established in Moultrie, Georgia operating as a Anesthesiology, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1295192391 assigned on January 2016. The practitioner's primary taxonomy code is 207LP2900X. The provider is registered as an organization and their NPI record was last updated 10 years ago. Colquitt Regional Pain Clinic, 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 Wendell Sims (Cfo)
- NPI
- 1295192391
- Provider Name
- COLQUITT REGIONAL PAIN CLINIC, LLC
- Entity Type
- Organization
- Location Address
- 3131 S MAIN ST MOULTRIE, GA 31768
- Location Phone
- (229) 985-3420
- Mailing Address
- PO BOX 8866 GREENSBORO, NC 27419
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-20-2016
- Last Update Date
- 01-20-2016
- Code Navigator
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
Anesthesiology Pain Medicine
- Taxonomy Code
- 207LP2900X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
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.
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
- 11D2135673
- Facility Type
- School/Student Health Service
- Certificate Effective Date
- August 25, 2025
- Certificate Expiration Date
- August 24, 2027
- Laboratory Director
- SUZANNE H. SUMNER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Colquitt Regional Pain Clinic, Llc 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 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 1295192391, 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 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 69 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
MOULTRIE, GA 31768
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295192391, enumerated as an "organization" on January 20, 2016.
The provider is located at 3131 S MAIN ST MOULTRIE, GA 31768 and the phone number is (229) 985-3420.
Anesthesiology with taxonomy code 207LP2900X and a focus in Pain Medicine.
