DR. PATRICE GIBSON CHISHOM MD
NPI 1366441032
Pediatrics in Clarkston, GA

NPI Status: Active since July 15, 2005

Contact Information

4112 E PONCE DE LEON AVE
CLARKSTON, GA
ZIP 30021
Phone: (404) 289-7133
Fax: (404) 289-7211

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  • Individual
  • Female
  • Pediatrics

About PATRICE CHISHOM

This page provides the complete NPI Profile along with additional information for Patrice Chishom, a pediatrician established in Clarkston, Georgia with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1366441032 assigned on July 2005. The practitioner's primary taxonomy code is 208000000X with license number 045185 (GA). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1366441032
Provider Name
DR. PATRICE GIBSON CHISHOM MD
Other Name
PATRICE DANNETTE GIBSON
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
4112 E PONCE DE LEON AVE CLARKSTON, GA 30021
Location Phone
(404) 289-7133
Location Fax
(404) 289-7211
Mailing Address
4112 E PONCE DE LEON AVE CLARKSTON, GA 30021
Mailing Phone
(404) 289-7133
Mailing Fax
(404) 289-7211
Is Sole Proprietor?
No
Enumeration Date
07-15-2005
Last Update Date
03-20-2022
Code Navigator

A pediatrician like Patrice Chishom is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
045185
License State
GA
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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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 1366441032, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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
6
Doubled → 12 → 1 + 2
Pos 4
6
Unchanged
Pos 5
4
Doubled → 8
Pos 6
4
Unchanged
Pos 7
1
Doubled → 2
Pos 8
0
Unchanged
Pos 9
3
Doubled → 6
Check
2
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 6 → 12 → 3 4 → 8 1 → 2 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 2 + 6 + 8 + 4 + 2 + 0 + 6 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1366441032.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Pediatrics
4112 E PONCE DE LEON AVE
CLARKSTON, GA 30021
Pediatrics
4112 E PONCE DE LEON AVE
CLARKSTON, GA 30021
Nurse Practitioner (Pediatrics)
4112 E PONCE DE LEON AVE
CLARKSTON, GA 30021
Nurse Practitioner (Family)
4112 E PONCE DE LEON AVE
CLARKSTON, GA 30021
Pediatrics
4112 E PONCE DE LEON AVE
CLARKSTON, GA 30021
Nurse Practitioner (Pediatrics)
4112 E PONCE DE LEON AVE
CLARKSTON, GA 30021
Pediatrics
4112 E PONCE DE LEON AVE
CLARKSTON, GA 30021
Pediatrics
4112 E PONCE DE LEON AVE
CLARKSTON, GA 30021
Pediatrics
4112 E PONCE DE LEON AVE
CLARKSTON, GA 30021
Clinic/Center (Federally Qualified Health Center (FQHC))
4112 E PONCE DE LEON AVE
CLARKSTON, GA 30021
Pediatrics
4112 E PONCE DE LEON AVE
CLARKSTON, GA 30021
Nurse Practitioner (Family)
4112 E PONCE DE LEON AVE
CLARKSTON, GA 30021
Pediatrics
4112 E PONCE DE LEON AVE
CLARKSTON, GA 30021

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366441032, enumerated as an "individual" on July 15, 2005.

The provider is located at 4112 E PONCE DE LEON AVE CLARKSTON, GA 30021 and the phone number is (404) 289-7133.

Pediatrics with taxonomy code 208000000X.