CUSTOM HEALTHCARE LLC
NPI 1316268105
Clinic/Center - Multi-Specialty in Bishop, GA

NPI Status: Active since June 16, 2010

Contact Information

1540 GOBER RD
BISHOP, GA
ZIP 30621
Phone: (706) 207-1039

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  • Organization
  • Clinic/Center
  • Multi-Specialty

About CUSTOM HEALTHCARE LLC

This page provides the complete NPI Profile along with additional information for Custom Healthcare Llc, a provider established in Bishop, Georgia operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1316268105 assigned on June 2010. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Dr. Troy Allen Heidesch Dnp (Ceo/ Provider)

NPI
1316268105
Provider Name
CUSTOM HEALTHCARE LLC
Entity Type
Organization
Location Address
1540 GOBER RD BISHOP, GA 30621
Location Phone
(706) 207-1039
Mailing Address
1540 GOBER RD BISHOP, GA 30621
Mailing Phone
(706) 207-1039
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-16-2010
Last Update Date
06-16-2010
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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

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

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

DR. TROY ALLEN HEIDESCH DNP

Authorized Official Title
CEO/ PROVIDER
Authorized Official Phone
(706) 207-1039

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
1215917182MEDICARE UPIN (02)GA 
1346229622MEDICARE UPIN (02)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 1316268105, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
3
Unchanged
Pos 3
1
Doubled → 2
Pos 4
6
Unchanged
Pos 5
2
Doubled → 4
Pos 6
6
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
Check
5
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 1 → 2 2 → 4 8 → 16 → 7 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 2 + 6 + 4 + 6 + 1 + 6 + 1 + 0 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1316268105.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316268105, enumerated as an "organization" on June 16, 2010.

The provider is located at 1540 GOBER RD BISHOP, GA 30621 and the phone number is (706) 207-1039.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

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