SOUTH ATLANTA LACTATION CONSULTING, LLC
NPI 1417377086
Lactation Consultant, Non-RN in Locust Grove, GA

NPI Status: Active since April 23, 2014

Contact Information

615 TRESTLE RD
LOCUST GROVE, GA
ZIP 30248
Phone: (850) 774-8173

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  • Organization
  • Lactation Consultant, Non-RN
  • CLIA Number: 11D0981793
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-07-2027

About SOUTH ATLANTA LACTATION CONSULTING, LLC

This page provides the complete NPI Profile along with additional information for South Atlanta Lactation Consulting, Llc, a provider established in Locust Grove, Georgia operating as a Lactation Consultant, Non-rn. The healthcare provider is registered in the NPI registry with number 1417377086 assigned on April 2014. The practitioner's primary taxonomy code is 174N00000X with license number 11197323 (GA). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ms. Angela Orenczak Ibclc, Rlc (Lactation Consultant)

NPI
1417377086
Provider Name
SOUTH ATLANTA LACTATION CONSULTING, LLC
Entity Type
Organization
Location Address
615 TRESTLE RD LOCUST GROVE, GA 30248
Location Phone
(850) 774-8173
Mailing Address
615 TRESTLE RD LOCUST GROVE, GA 30248
Mailing Phone
(850) 774-8173
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-23-2014
Last Update Date
04-23-2014
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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

Lactation Consultant, Non-RN

Taxonomy Code
174N00000X
Type
Other Service Providers
License No.
11197323
License State
GA
Taxonomy Description
An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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

MS. ANGELA ORENCZAK IBCLC, RLC

Authorized Official Title
LACTATION CONSULTANT
Authorized Official Phone
(850) 774-8173

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
11D0981793
Facility Type
Physician Office
Certificate Effective Date
January 08, 2025
Certificate Expiration Date
January 07, 2027
Laboratory Director
MOO H. LEE MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to South Atlanta Lactation Consulting, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1417377086, 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.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
1
Doubled → 2
Pos 4
7
Unchanged
Pos 5
3
Doubled → 6
Pos 6
7
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
0
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
6
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 1 → 2 3 → 6 7 → 14 → 5 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 2 + 7 + 6 + 7 + 1 + 4 + 0 + 1 + 6 + 24 = 64

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.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1417377086.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417377086, enumerated as an "organization" on April 23, 2014.

The provider is located at 615 TRESTLE RD LOCUST GROVE, GA 30248 and the phone number is (850) 774-8173.

Lactation Consultant, Non-RN with taxonomy code 174N00000X.