SYLVAN GROVE HOSPITAL
NPI 1386664779
General Acute Care Hospital - Critical Access in Jackson, GA
NPI Status: Active since July 20, 2006
Contact Information
1050 MCDONOUGH RD
JACKSON, GA
ZIP 30233
Phone: (770) 775-7861
- Organization
- General Acute Care Hospital
- Critical Access
- Accepts Insurance
- CLIA Number: 11D0257390
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 03-21-2027
About SYLVAN GROVE HOSPITAL
This page provides the complete NPI Profile along with additional information for Sylvan Grove Hospital, a provider established in Jackson, Georgia operating as a General Acute Care Hospital, focusing in critical access . The healthcare provider is registered in the NPI registry with number 1386664779 assigned on July 2006. The practitioner's primary taxonomy code is 282NC0060X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Sylvan Grove Hospital. The authorized official of this NPI record is Mr. Anthony J Buzdinski (Evp)
- NPI
- 1386664779
- Provider Legal Name
- WELLSTAR SYLVAN GROVE HOSPITAL, INC
- Other Organization Name
- SYLVAN GROVE HOSPITAL
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1050 MCDONOUGH RD JACKSON, GA 30233
- Location Phone
- (770) 775-7861
- Mailing Address
- 1800 PARKWAY PL SE STE 500 MARIETTA, GA 30067
- Mailing Phone
- (470) 956-4981
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-20-2006
- Last Update Date
- 10-31-2024
- 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
General Acute Care Hospital Critical Access
- Taxonomy Code
- 282NC0060X
- Type
- Hospitals
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- MENDING Direct Primary Care Bronze 4950 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
- MENDING Direct Primary Care Gold $0 Ded ($0 DPC $0 PCP + $0 Mental Health) - HMO
- MENDING Direct Primary Care Silver 2300 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
- MENDING Standard Bronze (No Direct Primary Care, for DPC select DPC Bronze) - HMO
- MENDING Standard Gold (No Direct Primary Care, for DPC select DPC Gold) - HMO
- MENDING Standard Silver (No Direct Primary Care, for DPC select DPC Silver) - HMO
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.
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.
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.
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 |
|---|---|---|---|
| 00715107T | MEDICAID (05) | GA | |
| 152710726 | OTHER (01) | KAISER FOUNDATION HEALTH | |
| 1703761 | MEDICAID (05) | LA | |
| 000444 | OTHER (01) | HUMANA | |
| 00791062E | MEDICAID (05) | GA | |
| 111319B000000 | OTHER (01) | SECTION 1011 | |
| 23360 | OTHER (01) | COVENTRY HEALTH CARE GEOR | |
| 416159 | OTHER (01) | COVENTRY HEALTH CARE GEOR | |
| 00001856A | MEDICAID (05) | GA | |
| 00282488B | MEDICAID (05) | GA | |
| 00001856S | MEDICAID (05) | GA | |
| 010492809(TRR) | MEDICAID (05) | MO | |
| 004378 | OTHER (01) | BCBS OF GEORGIA | |
| 00495382D | MEDICAID (05) | GA | |
| 00885024B | MEDICAID (05) | GA | |
| 085001319G | MEDICAID (05) | GA | |
| 973964590 | OTHER (01) | AETNA US HEALTHCARE | |
| 00211549E | MEDICAID (05) | GA | |
| 00214607F | MEDICAID (05) | 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
- 11D0257390
- Facility Type
- Hospital
- Certificate Effective Date
- March 22, 2025
- Certificate Expiration Date
- March 21, 2027
- Laboratory Director
- DANIEL ASSAF
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Sylvan Grove Hospital after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high 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 1386664779, 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 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.
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 71 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
JACKSON, GA 30233
JACKSON, GA 30233
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386664779, enumerated as an "organization" on July 20, 2006.
The provider is located at 1050 MCDONOUGH RD JACKSON, GA 30233 and the phone number is (770) 775-7861.
General Acute Care Hospital with taxonomy code 282NC0060X and a focus in Critical Access.
The provider might be accepting Accepts: Mending Health, Medicare, Medicaid, Kaiser Health,. Please consult your insurance carrier or call the provider to verify.
