ADVANCED GASTROENTEROLOGY GROUP
NPI 1386670404
Exclusive Provider Organization in Woodstock, GA
NPI Status: Active since June 23, 2006
Contact Information
4595 TOWNE LAKE PKWY
BLDG 300, SUITE 200
WOODSTOCK, GA
ZIP 30189
Phone: (770) 509-0089
Fax: (678) 888-0642
- Organization
- Exclusive Provider Organization
- Accepts Insurance
About ADVANCED GASTROENTEROLOGY GROUP
This page provides the complete NPI Profile along with additional information for Advanced Gastroenterology Group, a provider established in Woodstock, Georgia operating as a Exclusive Provider Organization. The healthcare provider is registered in the NPI registry with number 1386670404 assigned on June 2006. The practitioner's primary taxonomy code is 302F00000X with license number 030681 (GA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Advanced Gastroenterology Group. The authorized official of this NPI record is Mrs. Sharon E Jackson (Office Manager)
- NPI
- 1386670404
- Provider Legal Name
- ADVANCED GASTROENTEROLOGY GROUP
- Other Organization Name
- ADVANCED GASTROENTEROLOGY GROUP
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4595 TOWNE LAKE PKWY BLDG 300, SUITE 200 WOODSTOCK, GA 30189
- Location Phone
- (770) 509-0089
- Location Fax
- (678) 888-0642
- Mailing Address
- 4595 TOWNE LAKE PKWY BLDG 300, SUITE 200 WOODSTOCK, GA 30189
- Mailing Phone
- (770) 509-0089
- Mailing Fax
- (678) 888-0642
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-23-2006
- Last Update Date
- 04-30-2008
- 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
Exclusive Provider Organization
- Taxonomy Code
- 302F00000X
- Type
- Managed Care Organizations
- License No.
- 030681
- License State
- GA
- Taxonomy Description
- (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- SoloCare Bronze EPO $8500 DED HSA 10004 - EPO
- SoloCare Exp Bronze EPO $9500 DED 10015 - EPO
- SoloCare Gold EPO $1500 DED 10010 - EPO
- SoloCare Silver EPO $5000 DED 10014 - EPO
- SoloCare Silver EPO $6500 DED 10013 - EPO
- SoloCare Standard Exp Bronze EPO $7500 DED 10008 - EPO
- SoloCare Standard Gold EPO $2000 DED 10006 - EPO
- SoloCare Standard Platinum EPO $0 DED 10005 - EPO
- SoloCare Standard Silver EPO $6000 DED 10007 - EPO
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 |
|---|---|---|---|
| 1447206164 | OTHER (01) | GA | NPI # |
| E28004 | MEDICARE 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 1386670404, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
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 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 17 providers are registered at the same or a nearby location.
WOODSTOCK, GA 30189
WOODSTOCK, GA 30189
WOODSTOCK, GA 30189
WOODSTOCK, GA 30189
WOODSTOCK, GA 30189
WOODSTOCK, GA 30189
WOODSTOCK, GA 30189
WOODSTOCK, GA 30189
WOODSTOCK, GA 30189
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386670404, enumerated as an "organization" on June 23, 2006.
The provider is located at 4595 TOWNE LAKE PKWY BLDG 300, SUITE 200 WOODSTOCK, GA 30189 and the phone number is (770) 509-0089.
Exclusive Provider Organization with taxonomy code 302F00000X.
The provider might be accepting Accepts: Alliant Health Plans, Inc., Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
