WAYCROSS ORTHOPAEDICS, P.C.
NPI 1679520753
Specialist in Waycross, GA

NPI Status: Active since May 27, 2006

Contact Information

2002 ALICE ST
WAYCROSS, GA
ZIP 31501
Phone: (912) 283-8444
Fax: (912) 283-7132

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  • Organization
  • Specialist
  • CLIA Number: 11D2009598
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 05-22-2026

About WAYCROSS ORTHOPAEDICS, P.C.

This page provides the complete NPI Profile along with additional information for Waycross Orthopaedics, P.c., a provider established in Waycross, Georgia operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1679520753 assigned on May 2006. The practitioner's primary taxonomy code is 174400000X with license number 28435 (GA). The provider is registered as an organization and their NPI record was last updated 6 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. Cheryl B. Tatum (Office Assistant)

NPI
1679520753
Provider Name
WAYCROSS ORTHOPAEDICS, P.C.
Entity Type
Organization
Location Address
2002 ALICE ST WAYCROSS, GA 31501
Location Phone
(912) 283-8444
Location Fax
(912) 283-7132
Mailing Address
PO BOX 2265 WAYCROSS, GA 31502
Mailing Phone
(912) 283-8444
Mailing Fax
(912) 283-7132
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-27-2006
Last Update Date
08-22-2020
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
28435
License State
GA
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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.

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. CHERYL B. TATUM

Authorized Official Title
OFFICE ASSISTANT
Authorized Official Phone
(912) 283-8444

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
11D2009598
Facility Type
Community Clinic
Certificate Effective Date
July 08, 2010
Certificate Expiration Date
May 22, 2026
Laboratory Director
ROBERT W. ALLAN
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Waycross Orthopaedics, P.c. 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 1679520753, 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
7
Doubled → 14 → 1 + 4
Pos 4
9
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
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 7 → 14 → 5 5 → 10 → 1 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 4 + 9 + 1 + 0 + 2 + 0 + 7 + 1 + 0 + 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 1679520753.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Orthopaedic Surgery
2002 ALICE ST
WAYCROSS, GA 31501
Orthopaedic Surgery
2002 ALICE ST
WAYCROSS, GA 31501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679520753, enumerated as an "organization" on May 27, 2006.

The provider is located at 2002 ALICE ST WAYCROSS, GA 31501 and the phone number is (912) 283-8444.

Specialist with taxonomy code 174400000X.