SOUTHERN OB GYN AMBULATORY SURGERY CENTER, INC
NPI 1538166053
Clinic/Center - Ambulatory Surgical in Valdosta, GA
NPI Status: Active since June 30, 2005
Contact Information
341 CONNELL RD
VALDOSTA, GA
ZIP 31602
Phone: (229) 241-2800
Fax: (229) 242-2402
- Organization
- Clinic/Center
- Ambulatory Surgical
- Accepts Insurance
- CLIA Number: 11D1012004
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 04-28-2027
About SOUTHERN OB GYN AMBULATORY SURGERY CENTER, INC
This page provides the complete NPI Profile along with additional information for Southern Ob Gyn Ambulatory Surgery Center, Inc, a provider established in Valdosta, Georgia operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1538166053 assigned on June 2005. The practitioner's primary taxonomy code is 261QA1903X with license number 092-272 (GA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mrs. Pam Hall R.n. (Surgical Director)
- NPI
- 1538166053
- Provider Name
- SOUTHERN OB GYN AMBULATORY SURGERY CENTER, INC
- Entity Type
- Organization
- Location Address
- 341 CONNELL RD VALDOSTA, GA 31602
- Location Phone
- (229) 241-2800
- Location Fax
- (229) 242-2402
- Mailing Address
- 341 CONNELL RD VALDOSTA, GA 31602
- Mailing Phone
- (229) 241-2800
- Mailing Fax
- (229) 242-2402
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-30-2005
- Last Update Date
- 08-22-2020
- 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 Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
- License No.
- 092-272
- License State
- GA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- SoloCare Bronze EPO $8500 DED HSA 10004 - EPO
- SoloCare Exp Bronze EPO $9500 DED 10015 - EPO
- SoloCare Gold EPO $1500 DED 10010 - EPO
- SoloCare Silver EPO $5000 DED 10014 - EPO
- SoloCare Silver EPO $6500 DED 10013 - EPO
- SoloCare Standard Exp Bronze EPO $7500 DED 10008 - EPO
- SoloCare Standard Gold EPO $2000 DED 10006 - EPO
- SoloCare Standard Platinum EPO $0 DED 10005 - EPO
- SoloCare Standard Silver EPO $6000 DED 10007 - EPO
- MENDING Direct Primary Care Bronze 4950 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
- MENDING Direct Primary Care Gold $0 Ded ($0 DPC $0 PCP + $0 Mental Health) - HMO
- MENDING Direct Primary Care Silver 2300 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
- MENDING Standard Bronze (No Direct Primary Care, for DPC select DPC Bronze) - HMO
- MENDING Standard Gold (No Direct Primary Care, for DPC select DPC Gold) - HMO
- MENDING Standard Silver (No Direct Primary Care, for DPC select DPC Silver) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 11D1012004
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- April 29, 2025
- Certificate Expiration Date
- April 28, 2027
- Laboratory Director
- ROY E. SWINDLE MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Southern Ob Gyn Ambulatory Surgery Center, Inc 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 1538166053, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
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 57 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538166053, enumerated as an "organization" on June 30, 2005.
The provider is located at 341 CONNELL RD VALDOSTA, GA 31602 and the phone number is (229) 241-2800.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
The provider might be accepting Accepts: Alliant Health Plans, Inc. and Mending Health. Please consult your insurance carrier or call the provider to verify.