COLISEUM MEDICAL GROUP-NORTHSIDE
NPI 1629018023
Internal Medicine in Macon, GA

NPI Status: Active since June 07, 2006

Contact Information

380 HOSPITAL DR
BLDG A SUITE 370
MACON, GA
ZIP 31217
Phone: (478) 474-4343
Fax: (844) 664-2283

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  • Organization
  • Internal Medicine
  • Accepts Insurance

About COLISEUM MEDICAL GROUP-NORTHSIDE

This page provides the complete NPI Profile along with additional information for Coliseum Medical Group-northside, an internist established in Macon, Georgia operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1629018023 assigned on June 2006. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. Coliseum Medical Group-northside operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Coliseum Medical Group-northside. The authorized official of this NPI record is Kristine Turner (Controller)

NPI
1629018023
Provider Legal Name
COLISEUM PRIMARY CARE SERVICES, LLC
Other Organization Name
COLISEUM MEDICAL GROUP-NORTHSIDE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
380 HOSPITAL DR BLDG A SUITE 370 MACON, GA 31217
Location Phone
(478) 474-4343
Location Fax
(844) 664-2283
Mailing Address
PO BOX 403570 ATLANTA, GA 30384
Mailing Phone
(478) 474-4343
Mailing Fax
(844) 664-2283
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-07-2006
Last Update Date
11-01-2016
Code Navigator

An internist like Coliseum Medical Group-northside 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

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

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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.

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

KRISTINE TURNER

Authorized Official Title
CONTROLLER
Authorized Official Phone
(843) 856-7938

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
=========OTHER (01)GACHAMPUS TRICARE PROGRAM
DE1497OTHER (01)GARAILROAD MEDICARE
195942266AMEDICAID (05)GA 
GRP7193MEDICARE PIN (08)GA 

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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 1629018023, 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
6
Unchanged
Pos 3
2
Doubled → 4
Pos 4
9
Unchanged
Pos 5
0
Doubled → 0
Pos 6
1
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
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 2 → 4 0 → 0 8 → 16 → 7 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 4 + 9 + 0 + 1 + 1 + 6 + 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 1629018023.

Other Providers at the Same Location


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

Obstetrics & Gynecology
380 HOSPITAL DR, SUITE 100
MACON, GA 31217
Obstetrics & Gynecology
380 HOSPITAL DR, SUITE 100
MACON, GA 31217
Obstetrics & Gynecology
380 HOSPITAL DR, SUITE 100
MACON, GA 31217
Internal Medicine (Pulmonary Disease)
380 HOSPITAL DR, BLDG A STE 430
MACON, GA 31217
Obstetrics & Gynecology
380 HOSPITAL DR, SUITE 100
MACON, GA 31217
Obstetrics & Gynecology
380 HOSPITAL DR, STE 125
MACON, GA 31217
Surgery
380 HOSPITAL DR, SUITE 370
MACON, GA 31217
Urology
380 HOSPITAL DR, STE 320
MACON, GA 31217
Urology
380 HOSPITAL DR, STE 320
MACON, GA 31217
Marriage & Family Therapist
380 HOSPITAL DR, BLDG A STE 125
MACON, GA 31217
Psychiatry & Neurology (Psychiatry)
380 HOSPITAL DR, BUILDING A SUITE 125
MACON, GA 31217
Psychiatry & Neurology (Neurology)
380 HOSPITAL DR, SUITE 125
MACON, GA 31217
Anesthesiologist Assistant
380 HOSPITAL DR, SUITE 410
MACON, GA 31217
Anesthesiologist Assistant
380 HOSPITAL DR, SUITE 410
MACON, GA 31217
Anesthesiology
380 HOSPITAL DR, SUITE 410
MACON, GA 31217
Nurse Anesthetist, Certified Registered
380 HOSPITAL DR, SUITE 410
MACON, GA 31217
Anesthesiologist Assistant
380 HOSPITAL DR, SUITE 410
MACON, GA 31217
Anesthesiologist Assistant
380 HOSPITAL DR, SUITE 410
MACON, GA 31217
Nurse Anesthetist, Certified Registered
380 HOSPITAL DR, SUITE 410
MACON, GA 31217
Anesthesiologist Assistant
380 HOSPITAL DR, SUITE 410
MACON, GA 31217

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629018023, enumerated as an "organization" on June 07, 2006.

The provider is located at 380 HOSPITAL DR BLDG A SUITE 370 MACON, GA 31217 and the phone number is (478) 474-4343.

Internal Medicine with taxonomy code 207R00000X.

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