SOUTHEAST GEORGIA PHYSICIANS ASSOCIATES CAMDEN PEDIATRICS
NPI 1659709152
Nurse Practitioner - Family in Saint Marys, GA
Overall Rating: 1 out of 5 stars
NPI Status: Active since October 17, 2013
Contact Information
2040 DAN PROCTOR DR
SUITE 140
SAINT MARYS, GA
ZIP 31558
Phone: (912) 679-8000
- Organization
- Nurse Practitioner
- Family
- CLIA Number: 11D1040187
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-02-2027
About SOUTHEAST GEORGIA PHYSICIANS ASSOCIATES CAMDEN PEDIATRICS
This page provides the complete NPI Profile along with additional information for Southeast Georgia Physicians Associates Camden Pediatrics, a provider established in Saint Marys, Georgia operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1659709152 assigned on October 2013. The practitioner's primary taxonomy code is 363LF0000X with license number RN191658 (GA). The provider is registered as an organization and their NPI record was last updated 13 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 Southeast Georgia Physicians Associates Camden Pediatrics. The authorized official of this NPI record is Mrs. Judy Marshall (Manager, Physician Practices)
- NPI
- 1659709152
- Provider Legal Name
- COOPERATIVE HEALTHCARE SERVICES INC
- Other Organization Name
- SOUTHEAST GEORGIA PHYSICIANS ASSOCIATES CAMDEN PEDIATRICS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2040 DAN PROCTOR DR SUITE 140 SAINT MARYS, GA 31558
- Location Phone
- (912) 679-8000
- Mailing Address
- 2040 DAN PROCTOR DR SUITE 140 SAINT MARYS, GA 31558
- Mailing Phone
- (912) 679-8000
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-17-2013
- Last Update Date
- 10-17-2013
- Code Navigator
A nurse practitioner (NP) like Southeast Georgia Physicians Associates Camden Pediatrics is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
According to the Nursing Home Compare program data, Southeast Georgia Physicians Associates Camden Pediatrics has a much below average overall quality rating based on the provider's performance on three separate measures including: health inspections, staffing, and quality of resident care information. These quality measures, combined in a star rating of 1 out of 5 stars provide a snapshot of this nursing home quality.
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
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- RN191658
- License State
- GA
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.
Nursing Home Quality Information
The Centers for Medicare and Medicaid Services publishes the Nursing Home Compare star rating data to provide consumers an easy way to compare nursing home's quality of care.
| Overall Quality Rating | - 1 out of 5 stars - Much Below Average |
| The overall star rating is based on a nursing homes's performance on health inspections, staffing and quality measures. | |
| Health Inspection Rating | Not Available |
| The health inspection star rating is based on a nursing home’s weighted score from the most recent health inspections. | |
| Quality Measures Rating | - 4 out of 5 stars - Above Average |
| The quality measures star rating is based on data from a select set of clinical measures. | |
| Long-Stay Quality Measures Rating | - 3 out of 5 stars - Average |
| The long-stay quality of care rating is based on the quality of care delivered to long-term residents only. | |
| Short-Stay Quality Measures Rating | - 4 out of 5 stars - Above Average |
| The short-stay quality of care rating is based on the quality of care delivered to temporary residents only. | |
| Staffing Rating | - 1 out of 5 stars - Much Below Average |
| The staffing rating is based on the star rating based on the nursing home’s staffing hours for Registered Nurses (RNs), Licensed Practice Nurses (LPNs), Licensed Vocational Nurses (LVNs) and Nurse aides. | |
| Nurse Aide Staffing Hours | 1.37 hours per resident per day |
| Nurse aide hours per resident per day. Higher number of hours are better. | |
| RN Staffing Hours | 0.53 hours per resident per day |
| Resgistered nurse hours per resident per day. Higher number of hours are better. | |
| RN Staff Turnover | 62.5% |
| Resgistered nurse turnover is the percentage of registered nursing staff who stop working at the facility within a given year. | |
| Ownership Type | Non profit - Other |
| Is the facility private for profit, not-for profit or publicly owned. | |
| Number of Certified Beds | 78 beds |
| Number of beds in the nursing home that have been approved by the federal government to participate in the Medicare or Medicaid programs. | |
| Residents per Day | 68 residents |
| Average number of residents living in the facility per day. | |
| Automatic Sprinkler Systems | Yes |
| Does the facility have automatic sprinkler systems in all required areas? | |
| Facility Reported Incidents | 0 incidents |
| Number of facility-reported incidents in the past 3 years. A lower number is better. | |
| Substantiated Complaints | 0 complaints |
| Number of substantiated complaints in the past 3 years. A lower number is better. | |
| Citations from Inspections | citations after infection control inspection |
| Number of citations from infection control inspections in the past 3 years. A lower number is better. | |
| Total Number of Penalties | 1 penalties from a serious health, fire safety or long-term unresolved citation |
| The Medicare program may impose penalties on a facilty when there's serious health or fire safety citations or if the facility fails to correct a citation for a long period of time. | |
| Number of Fines | 1 fines |
| Toal number of fines in the last 3 years. A penalty can be a fine against the facility or denied payments from Medicare. | |
| Amount of Fines | $4017.00 |
| Total monetary amount of fine imposed on the facility in the last 3 years. | |
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
- 11D1040187
- Facility Type
- Physician Office
- Certificate Effective Date
- May 03, 2025
- Certificate Expiration Date
- May 02, 2027
- Laboratory Director
- RENALI AGBAYANI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Southeast Georgia Physicians Associates Camden Pediatrics 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 1659709152, 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
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.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
SAINT MARYS, GA 31558
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659709152, enumerated as an "organization" on October 17, 2013.
The provider is located at 2040 DAN PROCTOR DR SUITE 140 SAINT MARYS, GA 31558 and the phone number is (912) 679-8000.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
