RIVERSIDE SPINE & PAIN PHYSICIANS, LLC
NPI 1477922920
Specialist in Richmond Hill, GA

NPI Status: Active since September 15, 2015

Contact Information

2453 US HIGHWAY 17
SUITE G
RICHMOND HILL, GA
ZIP 31324
Phone: (904) 389-1010
Fax: (904) 389-1082

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  • Organization
  • Specialist
  • CLIA Number: 10D1084555
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-19-2027

About RIVERSIDE SPINE & PAIN PHYSICIANS, LLC

This page provides the complete NPI Profile along with additional information for Riverside Spine & Pain Physicians, Llc, a provider established in Richmond Hill, Georgia operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1477922920 assigned on September 2015. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 11 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 Dr. Stephen Scott Kramarich M.d. (Medical Director)

NPI
1477922920
Provider Name
RIVERSIDE SPINE & PAIN PHYSICIANS, LLC
Entity Type
Organization
Location Address
2453 US HIGHWAY 17 SUITE G RICHMOND HILL, GA 31324
Location Phone
(904) 389-1010
Location Fax
(904) 389-1082
Mailing Address
7207 GOLDEN WINGS RD SUITE 100 JACKSONVILLE, FL 32244
Mailing Phone
(904) 389-1010
Mailing Fax
(904) 389-1082
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-15-2015
Last Update Date
09-15-2015
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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

DR. STEPHEN SCOTT KRAMARICH M.D.

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(904) 389-1010

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
10D1084555
Facility Type
Physician Office
Certificate Effective Date
April 20, 2025
Certificate Expiration Date
April 19, 2027
Laboratory Director
DR. ELVIRA BARROSO
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Riverside Spine & Pain Physicians, Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high 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 1477922920, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

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
7
Doubled → 14 → 1 + 4
Pos 4
7
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
2
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
2
Doubled → 4
Check
0
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 7 → 14 → 5 9 → 18 → 9 2 → 4 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 4 + 7 + 1 + 8 + 2 + 4 + 9 + 4 + 24 = 70

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

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1477922920.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Pain Medicine (Interventional Pain Medicine)
2453 US HIGHWAY 17, SUITE G
RICHMOND HILL, GA 31324
Specialist
2453 US HIGHWAY 17, SUITE G
RICHMOND HILL, GA 31324
Occupational Therapist
2453 US HIGHWAY 17
RICHMOND HILL, GA 31324
Speech-Language Pathologist
2453 US HIGHWAY 17
RICHMOND HILL, GA 31324

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477922920, enumerated as an "organization" on September 15, 2015.

The provider is located at 2453 US HIGHWAY 17 SUITE G RICHMOND HILL, GA 31324 and the phone number is (904) 389-1010.

Specialist with taxonomy code 174400000X.