EMORY MEDICAL GROUP, LLC
NPI 1568661510
Clinic/Center - Oral and Maxillofacial Surgery in Atlanta, GA

NPI Status: Active since July 11, 2007

Contact Information

1365B CLIFTON RD NE
ATLANTA, GA
ZIP 30322
Phone: (404) 778-4500
Fax: (404) 778-5879

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  • Organization
  • Clinic/Center
  • Oral and Maxillofacial Surgery
  • Accepts Insurance
  • CLIA Number: 11D0259401
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 10-19-2026

About EMORY MEDICAL GROUP, LLC

This page provides the complete NPI Profile along with additional information for Emory Medical Group, Llc, a provider established in Atlanta, Georgia operating as a Clinic/center, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1568661510 assigned on July 2007. The practitioner's primary taxonomy code is 261QS0112X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The authorized official of this NPI record is Mr. Donald I Brunn (Coo)

NPI
1568661510
Provider Name
EMORY MEDICAL GROUP, LLC
Entity Type
Organization
Location Address
1365B CLIFTON RD NE ATLANTA, GA 30322
Location Phone
(404) 778-4500
Location Fax
(404) 778-5879
Mailing Address
PO BOX 116294 ATLANTA, GA 30368
Mailing Phone
(404) 778-4500
Mailing Fax
(404) 778-5879
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-11-2007
Last Update Date
07-11-2007
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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

Clinic/Center Oral and Maxillofacial Surgery

Taxonomy Code
261QS0112X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Thrive Silver - 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
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + 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
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze with Atrium Health - HMO
  • Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Focused Silver with Atrium Health - HMO
  • Focused Silver with Atrium Health + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze with Atrium Health - 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
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO

*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

MR. DONALD I BRUNN

Authorized Official Title
COO
Authorized Official Phone
(404) 778-4871

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
11D0259401
Facility Type
Hospital
Certificate Effective Date
October 20, 2024
Certificate Expiration Date
October 19, 2026
Laboratory Director
DR. JOHN ROBACK
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Emory Medical Group, Llc 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 EMORY MEDICAL GROUP, 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 1568661510, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 2 + 8 + 1 + 2 + 6 + 2 + 5 + 2 + 24 = 60

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

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1568661510.

Other Providers at the Same Location


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

Psychiatry & Neurology (Neurology)
1365B CLIFTON RD NE, SUITE B-3600
ATLANTA, GA 30322
Ophthalmology
1365B CLIFTON RD NE, ROOM 4513
ATLANTA, GA 30322
Oral & Maxillofacial Surgery
1365B CLIFTON RD NE, STE 2300
ATLANTA, GA 30322
Neurological Surgery
1365B CLIFTON RD NE, STE B6400
ATLANTA, GA 30322
Ophthalmology
1365B CLIFTON RD NE, BUILDING B RM 4500
ATLANTA, GA 30322
Ophthalmology
1365B CLIFTON RD NE, BUILDING B RM 2401
ATLANTA, GA 30322
Urology
1365B CLIFTON RD NE, SUITE B1400
ATLANTA, GA 30322
Urology
1365B CLIFTON RD NE, SUITE B1400
ATLANTA, GA 30322
Urology
1365B CLIFTON RD NE, SUITE B1400
ATLANTA, GA 30322
Physician Assistant
1365B CLIFTON RD NE, SUITE B1400
ATLANTA, GA 30322
Urology
1365B CLIFTON RD NE, SUITE B1400
ATLANTA, GA 30322
Urology
1365B CLIFTON RD NE, SUITE B1400
ATLANTA, GA 30322
Optometrist
1365B CLIFTON RD NE, SUITE 1100
ATLANTA, GA 30322
Ophthalmology
1365B CLIFTON RD NE
ATLANTA, GA 30322
Ophthalmology
1365B CLIFTON RD NE, SUITE B2400
ATLANTA, GA 30322
Internal Medicine
1365B CLIFTON RD NE
ATLANTA, GA 30322
Nurse Practitioner (Adult Health)
1365B CLIFTON RD NE, SUITE1400
ATLANTA, GA 30322
General Acute Care Hospital (Critical Access)
1365B CLIFTON RD NE, SUITE B6100, DEPARTMENT OF NEUROSURGERY
ATLANTA, GA 30322
Ophthalmology
1365B CLIFTON RD NE
ATLANTA, GA 30322
Neurological Surgery
1365B CLIFTON RD NE, STE 6200
ATLANTA, GA 30322

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568661510, enumerated as an "organization" on July 11, 2007.

The provider is located at 1365B CLIFTON RD NE ATLANTA, GA 30322 and the phone number is (404) 778-4500.

Clinic/Center with taxonomy code 261QS0112X and a focus in Oral and Maxillofacial Surgery.

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