ELLIJAY URGENT CARE & FAMILY PRACTICE
NPI 1700237633
Clinic/Center - Rural Health in East Ellijay, GA

NPI Status: Active since June 22, 2016

Contact Information

97 HEFNER ST STE 202
EAST ELLIJAY, GA
ZIP 30540
Phone: (706) 635-5177
Fax: (706) 635-2274

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  • Organization
  • Clinic/Center
  • Rural Health
  • Accepts Insurance
  • CLIA Number: 11D2115096
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-27-2026

About ELLIJAY URGENT CARE & FAMILY PRACTICE

This page provides the complete NPI Profile along with additional information for Ellijay Urgent Care & Family Practice, a primary care provider established in East Ellijay, Georgia operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1700237633 assigned on June 2016. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 8 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 provider's is doing business as Ellijay Urgent Care & Family Practice. The authorized official of this NPI record is Dr. Ellijay Urgent Care Family Practice. D.o. (Owner)

NPI
1700237633
Provider Legal Name
ELLIJAY URGENT CARE & FAMILY PRACTICE LLC
Other Organization Name
ELLIJAY URGENT CARE & FAMILY PRACTICE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
97 HEFNER ST STE 202 EAST ELLIJAY, GA 30540
Location Phone
(706) 635-5177
Location Fax
(706) 635-2274
Mailing Address
97 HEFNER ST STE 202 EAST ELLIJAY, GA 30540
Mailing Phone
(706) 635-2273
Mailing Fax
(706) 635-2274
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-22-2016
Last Update Date
10-01-2018
Code Navigator

A primary care provider (PCP) like Ellijay Urgent Care & Family Practice sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

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)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

062579 (GA)

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • SoloCare Bronze EPO $8500 DED HSA 10004 - EPO
  • SoloCare Exp Bronze EPO $9500 DED 10015 - EPO
  • SoloCare Gold EPO $1500 DED 10010 - EPO
  • SoloCare Silver EPO $5000 DED 10014 - EPO
  • SoloCare Silver EPO $6500 DED 10013 - EPO
  • SoloCare Standard Exp Bronze EPO $7500 DED 10008 - EPO
  • SoloCare Standard Gold EPO $2000 DED 10006 - EPO
  • SoloCare Standard Platinum EPO $0 DED 10005 - EPO
  • SoloCare Standard Silver EPO $6000 DED 10007 - EPO

*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. ELLIJAY URGENT CARE FAMILY PRACTICE. D.O.

Authorized Official Title
OWNER
Authorized Official Phone
(706) 635-5177

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
11D2115096
Facility Type
Physician Office
Certificate Effective Date
June 28, 2024
Certificate Expiration Date
June 27, 2026
Laboratory Director
THOMAS A. NGUYEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ellijay Urgent Care & Family Practice 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.

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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 1700237633, 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
7
Unchanged
Pos 3
0
Doubled → 0
Pos 4
0
Unchanged
Pos 5
2
Doubled → 4
Pos 6
3
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
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 0 → 0 2 → 4 7 → 14 → 5 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 0 + 0 + 4 + 3 + 1 + 4 + 6 + 6 + 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 1700237633.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Family Medicine
97 HEFNER ST STE 202
EAST ELLIJAY, GA 30540

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700237633, enumerated as an "organization" on June 22, 2016.

The provider is located at 97 HEFNER ST STE 202 EAST ELLIJAY, GA 30540 and the phone number is (706) 635-5177.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

The provider might be accepting Accepts: Alliant Health Plans, Inc.. Please consult your insurance carrier or call the provider to verify.