PROFESSIONAL PARK ASSOCIATES
NPI 1669861530
Non-Pharmacy Dispensing Site in La Fayette, GA
NPI Status: Active since January 15, 2015
Contact Information
611 E VILLANOW ST
LA FAYETTE, GA
ZIP 30728
Phone: (706) 638-1606
Fax: (706) 638-9987
- Organization
- Non-Pharmacy Dispensing Site
- Accepts Insurance
- CLIA Number: 11D0680340
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-24-2026
About PROFESSIONAL PARK ASSOCIATES
This page provides the complete NPI Profile along with additional information for Professional Park Associates, a provider established in La Fayette, Georgia operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1669861530 assigned on January 2015. The practitioner's primary taxonomy code is 332900000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Professional Park Associates. The authorized official of this NPI record is Ramon Figueroa (Director Physician Operations)
- NPI
- 1669861530
- Provider Legal Name
- MEMORIAL HEALTH PARTNERS FOUNDATION, INC.
- Other Organization Name
- PROFESSIONAL PARK ASSOCIATES
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 611 E VILLANOW ST LA FAYETTE, GA 30728
- Location Phone
- (706) 638-1606
- Location Fax
- (706) 638-9987
- Mailing Address
- 611 E VILLANOW ST LA FAYETTE, GA 30728
- Mailing Phone
- (706) 638-1606
- Mailing Fax
- (706) 638-9987
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 01-15-2015
- Last Update Date
- 01-15-2015
- Code Navigator
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
Non-Pharmacy Dispensing Site
- Taxonomy Code
- 332900000X
- Type
- Suppliers
- Taxonomy Description
- A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Select by Medica Bronze $0 Copay PCP Visits - EPO
- Select by Medica Bronze Share - EPO
- Select by Medica Expanded Bronze Standard - EPO
- Select by Medica Gold $0 Copay PCP Visits - EPO
- Select by Medica Gold Share - EPO
- Select by Medica Gold Standard - EPO
- Select by Medica Silver $0 Copay PCP Visits - EPO
- Select by Medica Silver Share - EPO
- Select by Medica Silver Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 11D0680340
- Facility Type
- Physician Office
- Certificate Effective Date
- September 25, 2024
- Certificate Expiration Date
- September 24, 2026
- Laboratory Director
- DR. SUZANNE STOREY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Professional Park Associates 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.
Reviews for PROFESSIONAL PARK ASSOCIATES
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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 1669861530, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
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 70 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669861530, enumerated as an "organization" on January 15, 2015.
The provider is located at 611 E VILLANOW ST LA FAYETTE, GA 30728 and the phone number is (706) 638-1606.
Non-Pharmacy Dispensing Site with taxonomy code 332900000X.
The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.
