DR. ROBERT LEE CARLSON JR. M.D.
NPI 1710030002
Emergency Medicine - Undersea and Hyperbaric Medicine in Kennesaw, GA

NPI Status: Active since January 19, 2007

Contact Information

3900 LEGACY PARK BLVD NW
SUITE C-100
KENNESAW, GA
ZIP 30144
Phone: (678) 797-6277
Fax: (678) 797-6278

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  • Individual
  • Male
  • Emergency Medicine
  • Undersea and Hyperbaric Medicine

About ROBERT CARLSON

This page provides the complete NPI Profile along with additional information for Robert Carlson, a provider established in Kennesaw, Georgia with a medical specialization in Emergency Medicine, focusing in undersea and hyperbaric medicine . The healthcare provider is registered in the NPI registry with number 1710030002 assigned on January 2007. The practitioner's primary taxonomy code is 207PE0005X with license number 043890 (GA). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1710030002
Provider Name
DR. ROBERT LEE CARLSON JR. M.D.
Gender
Male
Entity Type
Individual
Location Address
3900 LEGACY PARK BLVD NW SUITE C-100 KENNESAW, GA 30144
Location Phone
(678) 797-6277
Location Fax
(678) 797-6278
Mailing Address
3970 BELLINGRATH MAIN NW KENNESAW, GA 30144
Mailing Phone
(770) 794-1157
Mailing Fax
(678) 797-6278
Is Sole Proprietor?
Yes
Enumeration Date
01-19-2007
Last Update Date
09-11-2025
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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

Emergency Medicine Undersea and Hyperbaric Medicine

Taxonomy Code
207PE0005X
Type
Allopathic & Osteopathic Physicians
License No.
043890
License State
GA
Taxonomy Description
A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.

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)
1207PE0004XAllopathic & Osteopathic Physicians

Emergency Medicine
Emergency Medical Services

043890 (GA)

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.

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
00770459CMEDICAID (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 1710030002, we treat the final digit (2) 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 38. The final step is to find the difference between that total and the next multiple of ten (40 - 38 = 2).

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
1
Doubled → 2
Pos 4
0
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
0
Doubled → 0
Check
2
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 1 → 2 0 → 0 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 2 + 0 + 0 + 3 + 0 + 0 + 0 + 24 = 38

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

The next multiple of ten after 38 is 40. The difference is the calculated check digit.

40 - 38 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1710030002.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Durable Medical Equipment & Medical Supplies
3900 LEGACY PARK BLVD NW, D-300
KENNESAW, GA 30144
Specialist/Technologist (Athletic Trainer)
3900 LEGACY PARK BLVD NW, D-400
KENNESAW, GA 30144
Chiropractor
3900 LEGACY PARK BLVD NW, SUITE C100
KENNESAW, GA 30144
Chiropractor
3900 LEGACY PARK BLVD NW
KENNESAW, GA 30144
Dentist (General Practice)
3900 LEGACY PARK BLVD NW, SUITE D-100
KENNESAW, GA 30144
Health and Wellness Coach
3900 LEGACY PARK BLVD NW
KENNESAW, GA 30144

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710030002, enumerated as an "individual" on January 19, 2007.

The provider is located at 3900 LEGACY PARK BLVD NW SUITE C-100 KENNESAW, GA 30144 and the phone number is (678) 797-6277.

Emergency Medicine with taxonomy code 207PE0005X and a focus in Undersea and Hyperbaric Medicine.

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