EAST CENTRAL DEVELOPMENTAL SYSTEM
NPI 1699837864
Intermediate Care Facility, Intellectual Disabilities in Gracewood, GA

NPI Status: Active since December 14, 2006

Contact Information

100 MYRTLE BLVD
GRACEWOOD, GA
ZIP 30812
Phone: (706) 790-2030

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About EAST CENTRAL DEVELOPMENTAL SYSTEM

This page provides the complete NPI Profile along with additional information for East Central Developmental System, a provider established in Gracewood, Georgia operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1699837864 assigned on December 2006. The practitioner's primary taxonomy code is 315P00000X with license number 21211622 (GA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as East Central Developmental System. The authorized official of this NPI record is Dr. Gail C Jackson M.d. (Regional Hospital Administrator)

NPI
1699837864
Provider Legal Name
GEORGIA DEPARTMENT OF HUMAN RESOURCES
Other Organization Name
EAST CENTRAL DEVELOPMENTAL SYSTEM
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
100 MYRTLE BLVD GRACEWOOD, GA 30812
Location Phone
(706) 790-2030
Mailing Address
100 MYRTLE BLVD GRACEWOOD, GA 30812
Mailing Phone
(706) 790-2030
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-14-2006
Last Update Date
08-22-2020
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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

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
License No.
21211622
License State
GA
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

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

DR. GAIL C JACKSON M.D.

Authorized Official Title
REGIONAL HOSPITAL ADMINISTRATOR
Authorized Official Phone
(706) 790-2030

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
00869206AMEDICAID (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 1699837864, we treat the final digit (4) 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 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 4).

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
9
Doubled → 18 → 1 + 8
Pos 4
9
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
3
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
8
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
4
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 9 → 18 → 9 8 → 16 → 7 7 → 14 → 5 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 8 + 9 + 1 + 6 + 3 + 1 + 4 + 8 + 1 + 2 + 24 = 76

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

The next multiple of ten after 76 is 80. The difference is the calculated check digit.

80 - 76 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1699837864.

Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Neurology)
100 MYRTLE BLVD, GRACEWOOD BLDG 103B
GRACEWOOD, GA 30812
Pediatrics
100 MYRTLE BLVD
GRACEWOOD, GA 30812
Family Medicine
100 MYRTLE BLVD
GRACEWOOD, GA 30812
Pediatrics
100 MYRTLE BLVD
GRACEWOOD, GA 30812
Dentist
100 MYRTLE BLVD
GRACEWOOD, GA 30812
Pediatrics
100 MYRTLE BLVD
GRACEWOOD, GA 30812
Dentist
100 MYRTLE BLVD, EAST CENTRAL REGIONAL HOSPITAL
GRACEWOOD, GA 30812
Intermediate Care Facility, Intellectual Disabilities
100 MYRTLE BLVD
GRACEWOOD, GA 30812
Skilled Nursing Facility
100 MYRTLE BLVD
GRACEWOOD, GA 30812
Pharmacy (Long Term Care Pharmacy)
100 MYRTLE BLVD
GRACEWOOD, GA 30812
Pharmacist
100 MYRTLE BLVD, EAST CENTRAL REGIONAL HOSPITAL DEPT OF PHARMACY
GRACEWOOD, GA 30812
Pharmacist
100 MYRTLE BLVD, DEPT OF PHARMACY
GRACEWOOD, GA 30812
General Practice
100 MYRTLE BLVD, 103B
GRACEWOOD, GA 30812
Skilled Nursing Facility
100 MYRTLE BLVD
GRACEWOOD, GA 30812
Intermediate Care Facility, Intellectual Disabilities
100 MYRTLE BLVD
AUGUSTA, GA 30812
Psychiatric Hospital
100 MYRTLE BLVD
GRACEWOOD, GA 30812
Dentist
100 MYRTLE BLVD
GRACEWOOD, GA 30812

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699837864, enumerated as an "organization" on December 14, 2006.

The provider is located at 100 MYRTLE BLVD GRACEWOOD, GA 30812 and the phone number is (706) 790-2030.

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

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