STATESBORO HMA PHYSICIAN MANAGEMENT LLC
NPI 1558412023
Hospitalist in Statesboro, GA

NPI Status: Active since January 13, 2007

Contact Information

1499 FAIR RD
STATESBORO, GA
ZIP 30458
Phone: (912) 871-5437
Fax: (912) 871-8595

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  • Organization
  • Hospitalist
  • Accepts Insurance

About STATESBORO HMA PHYSICIAN MANAGEMENT LLC

This page provides the complete NPI Profile along with additional information for Statesboro Hma Physician Management Llc, a provider established in Statesboro, Georgia operating as a Hospitalist. The healthcare provider is registered in the NPI registry with number 1558412023 assigned on January 2007. The practitioner's primary taxonomy code is 208M00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Statesboro Hma Physician Management Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Jennifer L Jackson (Sr Dur Prov Enrollment)

NPI
1558412023
Provider Name
STATESBORO HMA PHYSICIAN MANAGEMENT LLC
Entity Type
Organization
Location Address
1499 FAIR RD STATESBORO, GA 30458
Location Phone
(912) 871-5437
Location Fax
(912) 871-8595
Mailing Address
4000 MERIDIAN BLVD FRANKLIN, TN 37067
Mailing Phone
(615) 465-7000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-13-2007
Last Update Date
12-13-2022
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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

Hospitalist

Taxonomy Code
208M00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LA2100XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Acute Care

 
2367500000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Anesthetist, Certified Registered

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Standard Expanded Bronze - HMO
  • Standard Gold - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clarity Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

JENNIFER L JACKSON

Authorized Official Title
SR DUR PROV ENROLLMENT
Authorized Official Phone
(615) 465-7000

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
GP 366354327AMEDICAID (05)GA 

Reviews for STATESBORO HMA PHYSICIAN MANAGEMENT LLC

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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 1558412023, 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.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
8
Unchanged
Pos 5
4
Doubled → 8
Pos 6
1
Unchanged
Pos 7
2
Doubled → 4
Pos 8
0
Unchanged
Pos 9
2
Doubled → 4
Check
3
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 5 → 10 → 1 4 → 8 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 + 5 + 1 + 0 + 8 + 8 + 1 + 4 + 0 + 4 + 24 = 57

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.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1558412023.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
1499 FAIR RD
STATESBORO, GA 30458
Radiology (Diagnostic Radiology)
1499 FAIR RD
STATESBORO, GA 30458
Pharmacist
1499 FAIR RD
STATESBORO, GA 30458
Radiology (Diagnostic Radiology)
1499 FAIR RD
STATESBORO, GA 30458
Anesthesiology
1499 FAIR RD, SUITE 101
STATESBORO, GA 30458
Nurse Anesthetist, Certified Registered
1499 FAIR RD
STATESBORO, GA 30458
Nurse Anesthetist, Certified Registered
1499 FAIR RD
STATESBORO, GA 30458
Physical Therapist
1499 FAIR RD
STATESBORO, GA 30458
Physical Therapist
1499 FAIR RD
STATESBORO, GA 30458
Speech-Language Pathologist
1499 FAIR RD
STATESBORO, GA 30458
Physical Therapy Assistant
1499 FAIR RD
STATESBORO, GA 30458
Physical Therapy Assistant
1499 FAIR RD
STATESBORO, GA 30458
Speech-Language Pathologist
1499 FAIR RD
STATESBORO, GA 30458
Physical Therapy Assistant
1499 FAIR RD
STATESBORO, GA 30458
Physical Medicine & Rehabilitation
1499 FAIR RD
STATESBORO, GA 30458
Nurse Anesthetist, Certified Registered
1499 FAIR RD
STATESBORO, GA 30458
Nurse Anesthetist, Certified Registered
1499 FAIR RD
STATESBORO, GA 30458
Nurse Anesthetist, Certified Registered
1499 FAIR RD
STATESBORO, GA 30458
Nurse Anesthetist, Certified Registered
1499 FAIR RD
STATESBORO, GA 30458
Hospitalist
1499 FAIR RD
STATESBORO, GA 30458

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558412023, enumerated as an "organization" on January 13, 2007.

The provider is located at 1499 FAIR RD STATESBORO, GA 30458 and the phone number is (912) 871-5437.

Hospitalist with taxonomy code 208M00000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.