NORTHEAST GEORGIA PLASTIC SURGERY
NPI 1306028238
Plastic Surgery in Gainesville, GA
NPI Status: Active since December 03, 2007
Contact Information
1296 SIMS ST
SUITE B
GAINESVILLE, GA
ZIP 30501
Phone: (770) 534-1856
- Organization
- Plastic Surgery
- Accepts Insurance
- CLIA Number: 11D0874183
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 08-04-2027
About NORTHEAST GEORGIA PLASTIC SURGERY
This page provides the complete NPI Profile along with additional information for Northeast Georgia Plastic Surgery, a provider established in Gainesville, Georgia operating as a Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1306028238 assigned on December 2007. The practitioner's primary taxonomy code is 208200000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Bruce M Parker (Practice Manager)
- NPI
- 1306028238
- Provider Name
- NORTHEAST GEORGIA PLASTIC SURGERY
- Entity Type
- Organization
- Location Address
- 1296 SIMS ST SUITE B GAINESVILLE, GA 30501
- Location Phone
- (770) 534-1856
- Mailing Address
- 1296 SIMS ST SUITE B GAINESVILLE, GA 30501
- Mailing Phone
- (770) 534-1856
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-03-2007
- Last Update Date
- 09-10-2024
- 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
Plastic Surgery
- Taxonomy Code
- 208200000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- SoloCare Bronze EPO $8500 DED HSA 10004 - EPO
- SoloCare Exp Bronze EPO $9500 DED 10015 - EPO
- SoloCare Gold EPO $1500 DED 10010 - EPO
- SoloCare Silver EPO $5000 DED 10014 - EPO
- SoloCare Silver EPO $6500 DED 10013 - EPO
- SoloCare Standard Exp Bronze EPO $7500 DED 10008 - EPO
- SoloCare Standard Gold EPO $2000 DED 10006 - EPO
- SoloCare Standard Platinum EPO $0 DED 10005 - EPO
- SoloCare Standard Silver EPO $6000 DED 10007 - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 11D0874183
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- August 05, 2025
- Certificate Expiration Date
- August 04, 2027
- Laboratory Director
- SAM W. RICHWINE JR
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Northeast Georgia Plastic Surgery 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 1306028238, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
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 52 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 13 providers are registered at the same or a nearby location.
GAINESVILLE, GA 30501
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306028238, enumerated as an "organization" on December 03, 2007.
The provider is located at 1296 SIMS ST SUITE B GAINESVILLE, GA 30501 and the phone number is (770) 534-1856.
Plastic Surgery with taxonomy code 208200000X.
The provider might be accepting Accepts: Alliant Health Plans, Inc.. Please consult your insurance carrier or call the provider to verify.
