MR. HORACE MICHAEL DELISSER JR. PA
NPI 1306357256
Physician Assistant - Surgical in Bethlehem, GA
NPI Status: Active since October 18, 2017
Contact Information
426 EXCHANGE BLVD STE 600
BETHLEHEM, GA
ZIP 30620
Phone: (770) 848-6190
- Individual
- Male
- Physician Assistant
- Surgical
- PECOS Enrolled
About HORACE DELISSER
This page provides the complete NPI Profile along with additional information for Horace Delisser, a provider established in Bethlehem, Georgia with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1306357256 assigned on October 2017. The practitioner's primary taxonomy code is 363AS0400X with license number 11352 (GA). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1306357256
- Provider Name
- MR. HORACE MICHAEL DELISSER JR. PA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 426 EXCHANGE BLVD STE 600 BETHLEHEM, GA 30620
- Location Phone
- (770) 848-6190
- Mailing Address
- PO BOX 742616 ATLANTA, GA 30374
- Mailing Phone
- (770) 219-8420
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-18-2017
- Last Update Date
- 01-16-2023
- Code Navigator
Location Map
Secondary Locations
- 150 Delsea Dr Ste B
Sewell, NJ 08080
(856) 302-0500 - 479 Thomas Jones Way Ste 300
Exton, PA 19341
(610) 280-9999
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
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 11352
- License State
- GA
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 | 363AS0400X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 2 | 363AS0400X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | MA059415 (PA) |
| 3 | 363AS0400X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 25MP00494800 (NJ) |
Medicare Participation & PECOS Enrollment Status
Horace Delisser is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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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 1306357256, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
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 54 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306357256, enumerated as an "individual" on October 18, 2017.
The provider is located at 426 EXCHANGE BLVD STE 600 BETHLEHEM, GA 30620 and the phone number is (770) 848-6190.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.
