SOUTHEAST GEORGIA HEALTH SYSTEM ENT SURGICAL CENTER
NPI 1336163096
Clinic/Center - Ambulatory Surgical in Brunswick, GA
NPI Status: Active since July 27, 2006
Contact Information
2916 GLYNN AVE
BRUNSWICK, GA
ZIP 31520
Phone: (912) 265-2573
Fax: (912) 262-0795
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 11D1094211
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-13-2027
About SOUTHEAST GEORGIA HEALTH SYSTEM ENT SURGICAL CENTER
This page provides the complete NPI Profile along with additional information for Southeast Georgia Health System Ent Surgical Center, a provider established in Brunswick, Georgia operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1336163096 assigned on July 2006. The practitioner's primary taxonomy code is 261QA1903X with license number 063-316 (GA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Southeast Georgia Health System Ent Surgical Center. The authorized official of this NPI record is Mr. Michael David Scherneck Cpa (President & Ceo)
- NPI
- 1336163096
- Provider Legal Name
- COOPERATIVE HEALTHCARE SERVICES, INC.
- Other Organization Name
- SOUTHEAST GEORGIA HEALTH SYSTEM ENT SURGICAL CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2916 GLYNN AVE BRUNSWICK, GA 31520
- Location Phone
- (912) 265-2573
- Location Fax
- (912) 262-0795
- Mailing Address
- 2415 PARKWOOD DR BRUNSWICK, GA 31520
- Mailing Phone
- (912) 466-7000
- Mailing Fax
- (912) 262-0795
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-27-2006
- Last Update Date
- 08-22-2020
- 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
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
- License No.
- 063-316
- License State
- 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
- 11D1094211
- Facility Type
- Physician Office
- Certificate Effective Date
- January 14, 2025
- Certificate Expiration Date
- January 13, 2027
- Laboratory Director
- JOHN M. BLUMER MD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Southeast Georgia Health System Ent Surgical Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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 1336163096, 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 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 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336163096, enumerated as an "organization" on July 27, 2006.
The provider is located at 2916 GLYNN AVE BRUNSWICK, GA 31520 and the phone number is (912) 265-2573.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
