PROVIDENCE HEALTHCARE
NPI 1699895961
Allergy & Immunology - Clinical & Laboratory Immunology in Atlanta, GA

NPI Status: Active since March 30, 2007

Contact Information

4646 N SHALLOWFORD RD
ATLANTA, GA
ZIP 30338
Phone: (770) 676-6000
Fax: (770) 392-9805

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  • Organization
  • Allergy & Immunology
  • Clinical & Laboratory Immunology

About PROVIDENCE HEALTHCARE

This page provides the complete NPI Profile along with additional information for Providence Healthcare, a provider established in Atlanta, Georgia operating as a Allergy & Immunology, focusing in clinical & laboratory immunology . The healthcare provider is registered in the NPI registry with number 1699895961 assigned on March 2007. The practitioner's primary taxonomy code is 207KI0005X. The provider is registered as an organization and their NPI record was last updated 4 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. Mary Leach (Office Manager)

NPI
1699895961
Provider Name
PROVIDENCE HEALTHCARE
Entity Type
Organization
Location Address
4646 N SHALLOWFORD RD ATLANTA, GA 30338
Location Phone
(770) 676-6000
Location Fax
(770) 392-9805
Mailing Address
4646 N SHALLOWFORD RD ATLANTA, GA 30338
Mailing Phone
(770) 676-6000
Mailing Fax
(770) 392-9805
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-30-2007
Last Update Date
07-21-2022
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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

Allergy & Immunology Clinical & Laboratory Immunology

Taxonomy Code
207KI0005X
Type
Allopathic & Osteopathic Physicians
License State
GA
Taxonomy Description
An allergy and immunology physician who specializes in clinical and laboratory immunology disease management. Source: National Uniform Claim Committee, 2022 Additional Resources: A certification was, but is no longer, issued by the American Board of Allergy and Immunology.

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)
1111N00000XChiropractic Providers

Chiropractor

CHIR005530 (GA)
2171100000XOther Service Providers

Acupuncturist

000186 (FL)

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.

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.

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

MRS. MARY LEACH

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(770) 676-6000

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
50014615OTHER (01)GATAT
826713OTHER (01)GABLUECROSS BLUE SHIELD
D44849OTHER (01)GAUPIN

Reviews for PROVIDENCE HEALTHCARE

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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 1699895961, we treat the final digit (1) 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 79. The final step is to find the difference between that total and the next multiple of ten (80 - 79 = 1).

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
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
1
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 5 → 10 → 1 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 + 9 + 1 + 0 + 9 + 1 + 2 + 24 = 79

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

The next multiple of ten after 79 is 80. The difference is the calculated check digit.

80 - 79 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1699895961.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Acupuncturist
4646 N SHALLOWFORD RD
ATLANTA, GA 30338
Chiropractor
4646 N SHALLOWFORD RD
ATLANTA, GA 30338
General Practice
4646 N SHALLOWFORD RD, #500
ATLANTA, GA 30338
Chiropractor
4646 N SHALLOWFORD RD
ATLANTA, GA 30338
General Practice
4646 N SHALLOWFORD RD
ATLANTA, GA 30338
General Practice
4646 N SHALLOWFORD RD
ATLANTA, GA 30338
Dietitian, Registered
4646 N SHALLOWFORD RD
ATLANTA, GA 30338
Dietitian, Registered
4646 N SHALLOWFORD RD
ATLANTA, GA 30338
Naturopath
4646 N SHALLOWFORD RD
ATLANTA, GA 30338
Reflexologist
4646 N SHALLOWFORD RD
DUNWOODY, GA 30338
Naturopath
4646 N SHALLOWFORD RD
ATLANTA, GA 30338
Naturopath
4646 N SHALLOWFORD RD
ATLANTA, GA 30338
Naturopath
4646 N SHALLOWFORD RD
ATLANTA, GA 30338
Naturopath
4646 N SHALLOWFORD RD
DUNWOODY, GA 30338
Registered Nurse
4646 N SHALLOWFORD RD
ATLANTA, GA 30338
Naturopath
4646 N SHALLOWFORD RD
ATLANTA, GA 30338
Physical Medicine & Rehabilitation
4646 N SHALLOWFORD RD
ATLANTA, GA 30338
General Practice
4646 N SHALLOWFORD RD
ATLANTA, GA 30338
Dietitian, Registered
4646 N SHALLOWFORD RD
ATLANTA, GA 30338
Naturopath
4646 N SHALLOWFORD RD
ATLANTA, GA 30338

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699895961, enumerated as an "organization" on March 30, 2007.

The provider is located at 4646 N SHALLOWFORD RD ATLANTA, GA 30338 and the phone number is (770) 676-6000.

Allergy & Immunology with taxonomy code 207KI0005X and a focus in Clinical & Laboratory Immunology.

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