ISPM ASC AT CAMP CREEK LLC
NPI 1447594106
Clinic/Center - Ambulatory Surgical in Atlanta, GA

NPI Status: Active since November 19, 2012

Contact Information

3885 PRINCETON LAKES WAY SW
SUITE 400
ATLANTA, GA
ZIP 30331
Phone: (770) 929-9033
Fax: (770) 929-9092

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 11D2050094
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 11-19-2026

About ISPM ASC AT CAMP CREEK LLC

This page provides the complete NPI Profile along with additional information for Ispm Asc At Camp Creek Llc, a provider established in Atlanta, Georgia operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1447594106 assigned on November 2012. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. Robin J Folwer Md (Owner)

NPI
1447594106
Provider Name
ISPM ASC AT CAMP CREEK LLC
Entity Type
Organization
Location Address
3885 PRINCETON LAKES WAY SW SUITE 400 ATLANTA, GA 30331
Location Phone
(770) 929-9033
Location Fax
(770) 929-9092
Mailing Address
PO BOX 11407 DEPT 2330 BIRMINGHAM, AL 35246
Mailing Phone
(770) 929-9033
Mailing Fax
(770) 929-9092
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-19-2012
Last Update Date
02-20-2020
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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

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

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

MR. ROBIN J FOLWER MD

Authorized Official Title
OWNER
Authorized Official Phone
(770) 929-9033

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
11D2050094
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
November 20, 2024
Certificate Expiration Date
November 19, 2026
Laboratory Director
ALI KASSAMALI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ispm Asc At Camp Creek 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 1447594106, 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
4
Doubled → 8
Pos 4
7
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
9
Unchanged
Pos 7
4
Doubled → 8
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
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 4 → 8 5 → 10 → 1 4 → 8 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 8 + 7 + 1 + 0 + 9 + 8 + 1 + 0 + 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 1447594106.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Dentist (Oral and Maxillofacial Surgery)
3885 PRINCETON LAKES WAY SW, STE 408
ATLANTA, GA 30331
Internal Medicine (Nephrology)
3885 PRINCETON LAKES WAY SW, SUITE 314
ATLANTA, GA 30331
Specialist
3885 PRINCETON LAKES WAY SW
ATLANTA, GA 30331
Obstetrics & Gynecology
3885 PRINCETON LAKES WAY SW, SUITE 412
ATLANTA, GA 30331
Dentist (Oral and Maxillofacial Surgery)
3885 PRINCETON LAKES WAY SW, 406
ATLANTA, GA 30331
Obstetrics & Gynecology
3885 PRINCETON LAKES WAY SW, SUITE 412
ATLANTA, GA 30331
Clinic/Center (Primary Care)
3885 PRINCETON LAKES WAY SW, SUITE 402
ATLANTA, GA 30331
Otolaryngology
3885 PRINCETON LAKES WAY SW, SUITE 312A
ATLANTA, GA 30331
Pain Medicine (Interventional Pain Medicine)
3885 PRINCETON LAKES WAY SW, STE 400
ATLANTA, GA 30331
Specialist
3885 PRINCETON LAKES WAY SW, STE 400
ATLANTA, GA 30331
Psychiatry & Neurology (Neurology)
3885 PRINCETON LAKES WAY SW
ATLANTA, GA 30331
Plastic Surgery
3885 PRINCETON LAKES WAY SW, SUITE 312
ATLANTA, GA 30331
Pain Medicine (Interventional Pain Medicine)
3885 PRINCETON LAKES WAY SW
ATLANTA, GA 30331
Obstetrics & Gynecology
3885 PRINCETON LAKES WAY SW, SUITE 412
ATLANTA, GA 30331
Family Medicine
3885 PRINCETON LAKES WAY SW, SUITE 412
ATLANTA, GA 30331
Surgery (Vascular Surgery)
3885 PRINCETON LAKES WAY SW, SUITE 314
ATLANTA, GA 30331
Clinic/Center (Ambulatory Surgical)
3885 PRINCETON LAKES WAY SW, STE 400
ATLANTA, GA 30331
Nurse Anesthetist, Certified Registered
3885 PRINCETON LAKES WAY SW
ATLANTA, GA 30331
Internal Medicine
3885 PRINCETON LAKES WAY SW, SUITE 300
ATLANTA, GA 30331
Pediatrics
3885 PRINCETON LAKES WAY SW, SUITE 302
ATLANTA, GA 30331

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447594106, enumerated as an "organization" on November 19, 2012.

The provider is located at 3885 PRINCETON LAKES WAY SW SUITE 400 ATLANTA, GA 30331 and the phone number is (770) 929-9033.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.