IMPACT WELLNESS CENTER
NPI 1336671379
Pain Medicine - Pain Medicine in Decatur, GA

NPI Status: Active since March 29, 2017

Contact Information

1989 N WILLIAMSBURG DR
SUITE E
DECATUR, GA
ZIP 30033
Phone: (678) 717-9299
Fax: (404) 492-8885

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  • Organization
  • Pain Medicine
  • Pain Medicine

About IMPACT WELLNESS CENTER

This page provides the complete NPI Profile along with additional information for Impact Wellness Center, a provider established in Decatur, Georgia operating as a Pain Medicine. The healthcare provider is registered in the NPI registry with number 1336671379 assigned on March 2017. The practitioner's primary taxonomy code is 208VP0000X with license number GA050322 (GA). The provider is registered as an organization and their NPI record was last updated 9 years ago. Impact Wellness Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Tefylon Cameron Dc (Administrative Manager)

NPI
1336671379
Provider Name
IMPACT WELLNESS CENTER
Entity Type
Organization
Location Address
1989 N WILLIAMSBURG DR SUITE E DECATUR, GA 30033
Location Phone
(678) 717-9299
Location Fax
(404) 492-8885
Mailing Address
1989 N WILLIAMSBURG DR SUITE E DECATUR, GA 30033
Mailing Phone
(678) 717-9299
Mailing Fax
(404) 492-8885
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-29-2017
Last Update Date
03-29-2017
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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

Pain Medicine Pain Medicine

Taxonomy Code
208VP0000X
Type
Allopathic & Osteopathic Physicians
License No.
GA050322
License State
GA
Taxonomy Description
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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. TEFYLON CAMERON DC

Authorized Official Title
ADMINISTRATIVE MANAGER
Authorized Official Phone
(678) 717-9299

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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 1336671379, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
3
Doubled → 6
Pos 4
6
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
7
Unchanged
Pos 7
1
Doubled → 2
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
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 3 → 6 6 → 12 → 3 1 → 2 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 6 + 6 + 1 + 2 + 7 + 2 + 3 + 1 + 4 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1336671379.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Chiropractor
1989 N WILLIAMSBURG DR, SUITE F
DECATUR, GA 30033
Dentist (Periodontics)
1989 N WILLIAMSBURG DR, SUITE G
DECATUR, GA 30033
Chiropractor
1989 N WILLIAMSBURG DR, SUITE D
DECATUR, GA 30033
Physical Medicine & Rehabilitation
1989 N WILLIAMSBURG DR, SUITE F
DECATUR, GA 30033
Massage Therapist
1989 N WILLIAMSBURG DR, SUITE D
DECATUR, GA 30033
Orthopaedic Surgery
1989 N WILLIAMSBURG DR
DECATUR, GA 30033
Counselor (Mental Health)
1989 N WILLIAMSBURG DR
DECATUR, GA 30033

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336671379, enumerated as an "organization" on March 29, 2017.

The provider is located at 1989 N WILLIAMSBURG DR SUITE E DECATUR, GA 30033 and the phone number is (678) 717-9299.

Pain Medicine with taxonomy code 208VP0000X.