THE PEDIATRIC OFFICE, LLC
NPI 1629025432
Pediatrics - Adolescent Medicine in Evans, GA

NPI Status: Active since May 27, 2006

Contact Information

4321 UNIVERSITY PKWY
SUITE 104
EVANS, GA
ZIP 30809
Phone: (706) 854-2600
Fax: (706) 854-2601

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  • Organization
  • Pediatrics
  • Adolescent Medicine

About THE PEDIATRIC OFFICE, LLC

This page provides the complete NPI Profile along with additional information for The Pediatric Office, Llc, a pediatrician established in Evans, Georgia operating as a Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1629025432 assigned on May 2006. The practitioner's primary taxonomy code is 2080A0000X. The provider is registered as an organization and their NPI record was last updated 18 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 authorized official of this NPI record is Mrs. Keelyn Clark Cunningham (Office Manager)

NPI
1629025432
Provider Name
THE PEDIATRIC OFFICE, LLC
Entity Type
Organization
Location Address
4321 UNIVERSITY PKWY SUITE 104 EVANS, GA 30809
Location Phone
(706) 854-2600
Location Fax
(706) 854-2601
Mailing Address
4321 UNIVERSITY PKWY SUITE 104 EVANS, GA 30809
Mailing Phone
(706) 854-2600
Mailing Fax
(706) 854-2601
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-27-2006
Last Update Date
11-05-2008
Code Navigator

A pediatrician like The Pediatric Office, Llc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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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

Pediatrics Adolescent Medicine

Taxonomy Code
2080A0000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

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.

Insurance Plans Accepted

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

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

MRS. KEELYN CLARK CUNNINGHAM

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(706) 854-2600

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
300035984AMEDICAID (05)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 1629025432, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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

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 + 2 + 1 + 0 + 4 + 6 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1629025432.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Pediatrics (Adolescent Medicine)
4321 UNIVERSITY PKWY, SUITE 104
EVANS, GA 30809
Pediatrics (Adolescent Medicine)
4321 UNIVERSITY PKWY, SUITE 104
EVANS, GA 30809
Pediatrics (Adolescent Medicine)
4321 UNIVERSITY PKWY, SUITE 104
EVANS, GA 30809
Pediatrics
4321 UNIVERSITY PKWY
EVANS, GA 30809

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629025432, enumerated as an "organization" on May 27, 2006.

The provider is located at 4321 UNIVERSITY PKWY SUITE 104 EVANS, GA 30809 and the phone number is (706) 854-2600.

Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.