GRADY PRIMARY CARE, L.L.C.
NPI 1477716769
Clinic/Center - Health Service in Cairo, GA
NPI Status: Active since July 07, 2008
Contact Information
235 1ST AVE NE
CAIRO, GA
ZIP 39828
Phone: (229) 378-2214
Fax: (229) 378-2250
- Organization
- Clinic/Center
- Health Service
- CLIA Number: 11D2191876
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-01-2026
About GRADY PRIMARY CARE, L.L.C.
This page provides the complete NPI Profile along with additional information for Grady Primary Care, L.l.c., a provider established in Cairo, Georgia operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1477716769 assigned on July 2008. The practitioner's primary taxonomy code is 261QH0100X with license number 19509 (GA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Andrew Allison Dekle Md (Owner)
- NPI
- 1477716769
- Provider Name
- GRADY PRIMARY CARE, L.L.C.
- Entity Type
- Organization
- Location Address
- 235 1ST AVE NE CAIRO, GA 39828
- Location Phone
- (229) 378-2214
- Location Fax
- (229) 378-2250
- Mailing Address
- 235 1ST AVE NE CAIRO, GA 39828
- Mailing Phone
- (229) 378-2214
- Mailing Fax
- (229) 378-2250
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-07-2008
- Last Update Date
- 02-12-2016
- 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
Clinic/Center Health Service
- Taxonomy Code
- 261QH0100X
- Type
- Ambulatory Health Care Facilities
- License No.
- 19509
- License State
- GA
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
- 11D2191876
- Facility Type
- Physician Office
- Certificate Effective Date
- September 02, 2024
- Certificate Expiration Date
- September 01, 2026
- Laboratory Director
- KIMBERLY ANN HARBIN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Grady Primary Care, L.l.c. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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 1477716769, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
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 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477716769, enumerated as an "organization" on July 07, 2008.
The provider is located at 235 1ST AVE NE CAIRO, GA 39828 and the phone number is (229) 378-2214.
Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.
