APPLING HEALTHCARE GROUP OF BLACKSHEAR
NPI 1548828676
Clinic/Center - Multi-Specialty in Blackshear, GA

NPI Status: Active since June 04, 2019

Contact Information

3345 US HIGHWAY 84 STE 102
BLACKSHEAR, GA
ZIP 31516
Phone: (912) 705-4910
Fax: (912) 705-4911

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • CLIA Number: 11D0022129
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 08-21-2027

About APPLING HEALTHCARE GROUP OF BLACKSHEAR

This page provides the complete NPI Profile along with additional information for Appling Healthcare Group Of Blackshear, a provider established in Blackshear, Georgia operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1548828676 assigned on June 2019. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Appling Healthcare Group Of Blackshear. The authorized official of this NPI record is Randall Terry Crawford (Ceo)

NPI
1548828676
Provider Legal Name
THE BAXLEY & APPLING COUNTY HOSPITAL AUTHORITY
Other Organization Name
APPLING HEALTHCARE GROUP OF BLACKSHEAR
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3345 US HIGHWAY 84 STE 102 BLACKSHEAR, GA 31516
Location Phone
(912) 705-4910
Location Fax
(912) 705-4911
Mailing Address
PO BOX 2070 BAXLEY, GA 31515
Mailing Phone
(912) 367-9841
Mailing Fax
(912) 705-4911
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-04-2019
Last Update Date
01-15-2020
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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

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

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

RANDALL TERRY CRAWFORD

Authorized Official Title
CEO
Authorized Official Phone
(912) 367-9841

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
11D0022129
Facility Type
Hospital
Certificate Effective Date
August 22, 2025
Certificate Expiration Date
August 21, 2027
Laboratory Director
TIMOTHY MCINTIRE
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Appling Healthcare Group Of Blackshear 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 1548828676, we treat the final digit (6) 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

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
4
Doubled → 8
Pos 4
8
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
2
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
6
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 4 → 8 8 → 16 → 7 8 → 16 → 7 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 8 + 8 + 1 + 6 + 2 + 1 + 6 + 6 + 1 + 4 + 24 = 74

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

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1548828676.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Nurse Practitioner (Adult Health)
3345 US HIGHWAY 84 STE 102
BLACKSHEAR, GA 31516
Nurse Practitioner (Family)
3345 US HIGHWAY 84 STE 102
BLACKSHEAR, GA 31516
Nurse Practitioner (Family)
3345 US HIGHWAY 84 STE 102
BLACKSHEAR, GA 31516
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3345 US HIGHWAY 84 STE 102
BLACKSHEAR, GA 31516
Nurse Practitioner (Gerontology)
3345 US HIGHWAY 84 STE 102
BLACKSHEAR, GA 31516

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548828676, enumerated as an "organization" on June 04, 2019.

The provider is located at 3345 US HIGHWAY 84 STE 102 BLACKSHEAR, GA 31516 and the phone number is (912) 705-4910.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.