CSRA HEALTH LLC
NPI 1467143313
Pediatrics in Martinez, GA

NPI Status: Active since May 19, 2023

Contact Information

699 FURYS FERRY ROAD
MARTINEZ, GA
ZIP 30907
Phone: (706) 399-2825

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  • Organization
  • Pediatrics
  • Accepts Insurance
  • CLIA Number: 11D2288223
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-22-2025

About CSRA HEALTH LLC

This page provides the complete NPI Profile along with additional information for Csra Health Llc, a pediatrician established in Martinez, Georgia operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1467143313 assigned on May 2023. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Deepa Jagdale Md (Cmo)

NPI
1467143313
Provider Name
CSRA HEALTH LLC
Entity Type
Organization
Location Address
699 FURYS FERRY ROAD MARTINEZ, GA 30907
Location Phone
(706) 399-2825
Mailing Address
629 HIGH HAMPTON DR MARTINEZ, GA 30907
Mailing Phone
(706) 399-2825
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-19-2023
Last Update Date
05-19-2023
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A pediatrician like Csra Health Llc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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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

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 - HMO
  • Silver 8 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

DR. DEEPA JAGDALE MD

Authorized Official Title
CMO
Authorized Official Phone
(706) 399-2825

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
11D2288223
Facility Type
Physician Office
Certificate Effective Date
August 23, 2023
Certificate Expiration Date
August 22, 2025
Laboratory Director
DEEPA JAGDALE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Csra Health 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.

Reviews for CSRA HEALTH LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1467143313
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2412724632
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 2 + 7 + 2 + 4 + 6 + 3 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1467143313 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467143313, enumerated as an "organization" on May 19, 2023.

The provider is located at 699 FURYS FERRY ROAD MARTINEZ, GA 30907 and the phone number is (706) 399-2825.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to verify.