ST. MARY'S MEDICAL GROUP, INC.
NPI 1528516929
Surgery in Lavonia, GA

NPI Status: Active since September 14, 2016

Contact Information

355 CLEAR CREEK PKWY
SUITE 1008
LAVONIA, GA
ZIP 30553
Phone: (706) 356-6894
Fax: (706) 356-4132

Get Directions Write a Review

  • Organization
  • Surgery
  • CLIA Number: 11D0021600
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 03-14-2027

About ST. MARY'S MEDICAL GROUP, INC.

This page provides the complete NPI Profile along with additional information for St. Mary's Medical Group, Inc., a provider established in Lavonia, Georgia operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1528516929 assigned on September 2016. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an organization and their NPI record was last updated 8 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 D. Montez Carter (President & Ceo)

NPI
1528516929
Provider Name
ST. MARY'S MEDICAL GROUP, INC.
Entity Type
Organization
Location Address
355 CLEAR CREEK PKWY SUITE 1008 LAVONIA, GA 30553
Location Phone
(706) 356-6894
Location Fax
(706) 356-4132
Mailing Address
PO BOX 48089 ATHENS, GA 30604
Mailing Phone
(706) 389-3930
Mailing Fax
(706) 356-4132
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-14-2016
Last Update Date
04-02-2018
Code Navigator

A surgeon like St. Mary's Medical Group, Inc. treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

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

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

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

D. MONTEZ CARTER

Authorized Official Title
PRESIDENT & CEO
Authorized Official Phone
(706) 389-3930

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
11D0021600
Facility Type
Hospital
Certificate Effective Date
March 15, 2025
Certificate Expiration Date
March 14, 2027
Laboratory Director
DR. ZANE K. WADE
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to St. Mary's Medical Group, Inc. 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.

Reviews for ST. MARY'S MEDICAL GROUP, INC.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1528516929, 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.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
2
Doubled → 4
Pos 4
8
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
9
Unchanged
Pos 9
2
Doubled → 4
Check
9
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 2 → 4 5 → 10 → 1 6 → 12 → 3 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 4 + 8 + 1 + 0 + 1 + 1 + 2 + 9 + 4 + 24 = 61

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.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1528516929.

Other Providers at the Same Location


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

Audiologist
355 CLEAR CREEK PKWY, SUITE 201
LAVONIA, GA 30553
Surgery
355 CLEAR CREEK PKWY, SUITE 1003
LAVONIA, GA 30553

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528516929, enumerated as an "organization" on September 14, 2016.

The provider is located at 355 CLEAR CREEK PKWY SUITE 1008 LAVONIA, GA 30553 and the phone number is (706) 356-6894.

Surgery with taxonomy code 208600000X.