SATILLA PALLIATIVE CARE
NPI 1508434408
Internal Medicine - Hospice and Palliative Medicine in Waycross, GA

NPI Status: Active since June 16, 2021

Contact Information

808 EVERGREEN WAY
WAYCROSS, GA
ZIP 31501
Phone: (912) 285-2340
Fax: (912) 283-0200

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  • Organization
  • Internal Medicine
  • Hospice and Palliative Medicine
  • CLIA Number: 11D1055889
  • CLIA Cert. Type: Hospice
  • CLIA Exp. Date: 06-28-2026

About SATILLA PALLIATIVE CARE

This page provides the complete NPI Profile along with additional information for Satilla Palliative Care, an internist established in Waycross, Georgia operating as a Internal Medicine, focusing in hospice and palliative medicine . The healthcare provider is registered in the NPI registry with number 1508434408 assigned on June 2021. The practitioner's primary taxonomy code is 207RH0002X. The provider is registered as an organization and their NPI record was last updated 5 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 provider's is doing business as Satilla Palliative Care. The authorized official of this NPI record is Debra Thrift Golden (Executive Director)

NPI
1508434408
Provider Legal Name
HOSPICE SATILLA OF MEMORIAL HOSPITAL INC
Other Organization Name
SATILLA PALLIATIVE CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
808 EVERGREEN WAY WAYCROSS, GA 31501
Location Phone
(912) 285-2340
Location Fax
(912) 283-0200
Mailing Address
808 EVERGREEN WAY WAYCROSS, GA 31501
Mailing Phone
(912) 285-2340
Mailing Fax
(912) 283-0200
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-16-2021
Last Update Date
06-24-2021
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An internist like Satilla Palliative Care is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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

Internal Medicine Hospice and Palliative Medicine

Taxonomy Code
207RH0002X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

Group Taxonomy 193400000X MULTIPLE 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

DEBRA THRIFT GOLDEN

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(912) 285-2340

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
11D1055889
Facility Type
Hospice
Certificate Effective Date
June 29, 2024
Certificate Expiration Date
June 28, 2026
Laboratory Director
DEBRA T. GOLDEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Satilla Palliative Care 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 1508434408, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
5
Unchanged
Pos 3
0
Doubled → 0
Pos 4
8
Unchanged
Pos 5
4
Doubled → 8
Pos 6
3
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
0
Doubled → 0
Check
8
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 0 → 0 4 → 8 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 + 5 + 0 + 8 + 8 + 3 + 8 + 4 + 0 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1508434408.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Hospice Care, Community Based
808 EVERGREEN WAY
WAYCROSS, GA 31501
Nurse Practitioner (Family)
808 EVERGREEN WAY
WAYCROSS, GA 31501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508434408, enumerated as an "organization" on June 16, 2021.

The provider is located at 808 EVERGREEN WAY WAYCROSS, GA 31501 and the phone number is (912) 285-2340.

Internal Medicine with taxonomy code 207RH0002X and a focus in Hospice and Palliative Medicine.