FLEX SPORTS MEDICINE AND WELLNESS, LLC
NPI 1457128613
Emergency Medicine - Sports Medicine in Evans, GA

NPI Status: Active since December 07, 2023

Contact Information

4490 WASHINGTON RD STE 2
EVANS, GA
ZIP 30809
Phone: (762) 930-3539

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  • Organization
  • Emergency Medicine
  • Sports Medicine
  • CLIA Number: 11D2298085
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 01-28-2028

About FLEX SPORTS MEDICINE AND WELLNESS, LLC

This page provides the complete NPI Profile along with additional information for Flex Sports Medicine And Wellness, Llc, a provider established in Evans, Georgia operating as a Emergency Medicine, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1457128613 assigned on December 2023. The practitioner's primary taxonomy code is 207PS0010X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Flex Sports Medicine And Wellness, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Beau P Gedrick Do (Owner)

NPI
1457128613
Provider Name
FLEX SPORTS MEDICINE AND WELLNESS, LLC
Entity Type
Organization
Location Address
4490 WASHINGTON RD STE 2 EVANS, GA 30809
Location Phone
(762) 930-3539
Mailing Address
4490 WASHINGTON RD STE 2 EVANS, GA 30809
Mailing Phone
(762) 930-3539
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-07-2023
Last Update Date
12-07-2023
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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

Emergency Medicine Sports Medicine

Taxonomy Code
207PS0010X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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

BEAU P GEDRICK DO

Authorized Official Title
OWNER
Authorized Official Phone
(762) 930-3539

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
11D2298085
Facility Type
Community Clinic
Certificate Effective Date
January 29, 2026
Certificate Expiration Date
January 28, 2028
Laboratory Director
BEAU GEDRICK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Flex Sports Medicine And Wellness, 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 1457128613, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
5
Doubled → 10 → 1 + 0
Pos 4
7
Unchanged
Pos 5
1
Doubled → 2
Pos 6
2
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
1
Doubled → 2
Check
3
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 5 → 10 → 1 1 → 2 8 → 16 → 7 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 0 + 7 + 2 + 2 + 1 + 6 + 6 + 2 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1457128613.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Emergency Medicine (Sports Medicine)
4490 WASHINGTON RD STE 2
EVANS, GA 30809

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457128613, enumerated as an "organization" on December 07, 2023.

The provider is located at 4490 WASHINGTON RD STE 2 EVANS, GA 30809 and the phone number is (762) 930-3539.

Emergency Medicine with taxonomy code 207PS0010X and a focus in Sports Medicine.