AVITA COMMUNITY PARTNERS
NPI 1295275873
Day Training, Developmentally Disabled Services in Eastanollee, GA

NPI Status: Active since March 02, 2017

Contact Information

1143 RACETRACK RD
EASTANOLLEE, GA
ZIP 30538
Phone: (678) 513-5762
Fax: (678) 513-5831

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  • Organization
  • Day Training, Developmentally Disabled S...
  • CLIA Number: 11D2023148
  • CLIA Cert. Type: Other - COMMUNITY SERVICE BOARD
  • CLIA Exp. Date: 04-17-2027

About AVITA COMMUNITY PARTNERS

This page provides the complete NPI Profile along with additional information for Avita Community Partners, a provider established in Eastanollee, Georgia operating as a Day Training, Developmentally Disabled Services. The healthcare provider is registered in the NPI registry with number 1295275873 assigned on March 2017. The practitioner's primary taxonomy code is 251C00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Avita Community Partners. The authorized official of this NPI record is Mrs. Loretta Jones (Business Manager)

NPI
1295275873
Provider Legal Name
GEORGIA MOUNTAINS COMMUNITY SERVICES
Other Organization Name
AVITA COMMUNITY PARTNERS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1143 RACETRACK RD EASTANOLLEE, GA 30538
Location Phone
(678) 513-5762
Location Fax
(678) 513-5831
Mailing Address
4331 THURMON TANNER RD FLOWERY BRANCH, GA 30542
Mailing Phone
(678) 513-5762
Mailing Fax
(678) 513-5831
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-02-2017
Last Update Date
05-02-2017
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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

Day Training, Developmentally Disabled Services

Taxonomy Code
251C00000X
Type
Agencies
Taxonomy Description
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

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

MRS. LORETTA JONES

Authorized Official Title
BUSINESS MANAGER
Authorized Official Phone
(678) 513-5762

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
000600795AKMEDICAID (05)GA 

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
11D2023148
Facility Type
Other - COMMUNITY SERVICE BOARD
Certificate Effective Date
April 18, 2025
Certificate Expiration Date
April 17, 2027
Laboratory Director
ROBERT S. COBIELLA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Avita Community Partners 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 1295275873, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
5
Unchanged
Pos 5
2
Doubled → 4
Pos 6
7
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
8
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
3
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 9 → 18 → 9 2 → 4 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 8 + 5 + 4 + 7 + 1 + 0 + 8 + 1 + 4 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1295275873.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295275873, enumerated as an "organization" on March 02, 2017.

The provider is located at 1143 RACETRACK RD EASTANOLLEE, GA 30538 and the phone number is (678) 513-5762.

Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

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