SOUTHWELL INFECTIOUS DISEASE
NPI 1598304974
Internal Medicine - Infectious Disease in Valdosta, GA

NPI Status: Active since January 02, 2020

Contact Information

2301 N ASHLEY ST
VALDOSTA, GA
ZIP 31602
Phone: (229) 245-0666

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  • Organization
  • Internal Medicine
  • Infectious Disease
  • CLIA Number: 11D0265545
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-31-2027

About SOUTHWELL INFECTIOUS DISEASE

This page provides the complete NPI Profile along with additional information for Southwell Infectious Disease, an internist established in Valdosta, Georgia operating as a Internal Medicine, focusing in infectious disease . The healthcare provider is registered in the NPI registry with number 1598304974 assigned on January 2020. The practitioner's primary taxonomy code is 207RI0200X. The provider is registered as an organization and their NPI record was last updated 4 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 provider's is doing business as Southwell Infectious Disease. The authorized official of this NPI record is Troy Brooks (Svp/cfo)

NPI
1598304974
Provider Legal Name
SOUTHWELL AMBULATORY INC
Other Organization Name
SOUTHWELL INFECTIOUS DISEASE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2301 N ASHLEY ST VALDOSTA, GA 31602
Location Phone
(229) 245-0666
Mailing Address
907 18TH ST E STE 400 TIFTON, GA 31794
Mailing Phone
(229) 353-3422
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-02-2020
Last Update Date
10-18-2022
Code Navigator

An internist like Southwell Infectious Disease is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Secondary Locations

  • 103 James St
    Adel, GA 31620
    (229) 245-0666
  • 907 18th St E Ste 130
    Tifton, GA 31794
    (229) 245-0666

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

Internal Medicine Infectious Disease

Taxonomy Code
207RI0200X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

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

TROY BROOKS

Authorized Official Title
SVP/CFO
Authorized Official Phone
(229) 353-3397

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
11D0265545
Facility Type
Physician Office
Certificate Effective Date
February 01, 2025
Certificate Expiration Date
January 31, 2027
Laboratory Director
LYNN S. LEE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Southwell Infectious Disease 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 1598304974, we treat the final digit (4) 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 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 4).

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
9
Doubled → 18 → 1 + 8
Pos 4
8
Unchanged
Pos 5
3
Doubled → 6
Pos 6
0
Unchanged
Pos 7
4
Doubled → 8
Pos 8
9
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
4
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 9 → 18 → 9 3 → 6 4 → 8 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 + 1 + 8 + 8 + 6 + 0 + 8 + 9 + 1 + 4 + 24 = 76

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

The next multiple of ten after 76 is 80. The difference is the calculated check digit.

80 - 76 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1598304974.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Internal Medicine (Infectious Disease)
2301 N ASHLEY ST
VALDOSTA, GA 31602
Nurse Practitioner (Family)
2301 N ASHLEY ST
VALDOSTA, GA 31602
Nurse Practitioner (Adult Health)
2301 N ASHLEY ST
VALDOSTA, GA 31602
Specialist
2301 N ASHLEY ST
VALDOSTA, GA 31602
Clinic/Center (Federally Qualified Health Center (FQHC))
2301 N ASHLEY ST
VALDOSTA, GA 31602
Pharmacy
2301 N ASHLEY ST
VALDOSTA, GA 31602
Nurse Practitioner (Family)
2301 N ASHLEY ST
VALDOSTA, GA 31602
Nurse Practitioner (Family)
2301 N ASHLEY ST
VALDOSTA, GA 31602

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598304974, enumerated as an "organization" on January 02, 2020.

The provider is located at 2301 N ASHLEY ST VALDOSTA, GA 31602 and the phone number is (229) 245-0666.

Internal Medicine with taxonomy code 207RI0200X and a focus in Infectious Disease.