SOUTH GEORGIA EYE PARTNERS PC
NPI 1669745345
Ophthalmology in Douglas, GA

NPI Status: Active since February 11, 2012

Contact Information

200 DOCTORS DR
SUITE 290
DOUGLAS, GA
ZIP 31533
Phone: (912) 393-0055
Fax: (912) 384-5976

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  • Organization
  • Ophthalmology
  • CLIA Number: 11D0022233
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 02-27-2027

About SOUTH GEORGIA EYE PARTNERS PC

This page provides the complete NPI Profile along with additional information for South Georgia Eye Partners Pc, a provider established in Douglas, Georgia operating as a Ophthalmology. The healthcare provider is registered in the NPI registry with number 1669745345 assigned on February 2012. The practitioner's primary taxonomy code is 207W00000X. The provider is registered as an organization and their NPI record was last updated 14 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 Scott H Petermann Md (Owner)

NPI
1669745345
Provider Name
SOUTH GEORGIA EYE PARTNERS PC
Entity Type
Organization
Location Address
200 DOCTORS DR SUITE 290 DOUGLAS, GA 31533
Location Phone
(912) 393-0055
Location Fax
(912) 384-5976
Mailing Address
4380 KINGS WAY VALDOSTA, GA 31602
Mailing Phone
(229) 244-2068
Mailing Fax
(912) 384-5976
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-11-2012
Last Update Date
02-11-2012
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Ophthalmologists like South Georgia Eye Partners Pc specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.

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

Ophthalmology

Taxonomy Code
207W00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1152W00000XEye and Vision Services Providers

Optometrist

 
2152WC0802XEye and Vision Services Providers

Optometrist
Corneal and Contact Management

 
3152WP0200XEye and Vision Services Providers

Optometrist
Pediatrics

 
4152WS0006XEye and Vision Services Providers

Optometrist
Sports Vision

 
5332H00000XSuppliers

Eyewear Supplier

 

Group Taxonomy 193400000X MULTIPLE 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

SCOTT H PETERMANN MD

Authorized Official Title
OWNER
Authorized Official Phone
(912) 393-0055

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
11D0022233
Facility Type
Hospital
Certificate Effective Date
February 28, 2025
Certificate Expiration Date
February 27, 2027
Laboratory Director
DR. KATHLEEN E. COLEMAN
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to South Georgia Eye Partners Pc 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.

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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 1669745345, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
6
Doubled → 12 → 1 + 2
Pos 4
9
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
3
Unchanged
Pos 9
4
Doubled → 8
Check
5
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 7 → 14 → 5 5 → 10 → 1 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 2 + 9 + 1 + 4 + 4 + 1 + 0 + 3 + 8 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1669745345.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Internal Medicine
200 DOCTORS DR, SUITE 106
DOUGLAS, GA 31533
Family Medicine
200 DOCTORS DR, SUITE 224
DOUGLAS, GA 31533
Internal Medicine
200 DOCTORS DR, SUITE 106
DOUGLAS, GA 31533
Obstetrics & Gynecology (Maternal & Fetal Medicine)
200 DOCTORS DR, SUITE 102
DOUGLAS, GA 31533
Internal Medicine (Pulmonary Disease)
200 DOCTORS DR, STE. 112
DOUGLAS, GA 31533
Internal Medicine (Pulmonary Disease)
200 DOCTORS DR, SUITE 112
DOUGLAS, GA 31533
Pediatrics
200 DOCTORS DR, SUITE 201
DOUGLAS, GA 31533
Nurse Practitioner (Family)
200 DOCTORS DR, SUITE 106
DOUGLAS, GA 31533
Clinic/Center
200 DOCTORS DR, STE 224
DOUGLAS, GA 31533
Nurse Practitioner (Family)
200 DOCTORS DR, STE 201
DOUGLAS, GA 31533
Internal Medicine (Cardiovascular Disease)
200 DOCTORS DR, SUITE 106
DOUGLAS, GA 31533
Family Medicine
200 DOCTORS DR, STE 224
DOUGLAS, GA 31533
Urology
200 DOCTORS DR, STE 220
DOUGLAS, GA 31533
Psychiatry & Neurology (Neurology)
200 DOCTORS DR, SUITE L
DOUGLAS, GA 31533
General Practice
200 DOCTORS DR, SUITE S
DOUGLAS, GA 31533
Urology
200 DOCTORS DR, SUITE 220
DOUGLAS, GA 31533

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669745345, enumerated as an "organization" on February 11, 2012.

The provider is located at 200 DOCTORS DR SUITE 290 DOUGLAS, GA 31533 and the phone number is (912) 393-0055.

Ophthalmology with taxonomy code 207W00000X.