JEFFERSON PAIN CLINIC INC
NPI 1710156393
Pain Medicine - Pain Medicine in Jefferson, GA
NPI Status: Active since February 27, 2008
Contact Information
1351 WASHINGTON ST
JEFFERSON, GA
ZIP 30549
Phone: (706) 387-0027
Fax: (706) 387-0073
- Organization
- Pain Medicine
- Pain Medicine
- CLIA Number: 11D2265492
- CLIA Cert. Type: School/Student Health Service
- CLIA Exp. Date: 07-27-2026
About JEFFERSON PAIN CLINIC INC
This page provides the complete NPI Profile along with additional information for Jefferson Pain Clinic Inc, a provider established in Jefferson, Georgia operating as a Pain Medicine. The healthcare provider is registered in the NPI registry with number 1710156393 assigned on February 2008. The practitioner's primary taxonomy code is 208VP0000X with license number 032558 (GA). The provider is registered as an organization and their NPI record was last updated 18 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 Mr. Ahmad Ghadamyari (President)
- NPI
- 1710156393
- Provider Name
- JEFFERSON PAIN CLINIC INC
- Entity Type
- Organization
- Location Address
- 1351 WASHINGTON ST JEFFERSON, GA 30549
- Location Phone
- (706) 387-0027
- Location Fax
- (706) 387-0073
- Mailing Address
- PO BOX 680904 MARIETTA, GA 30068
- Mailing Phone
- (706) 387-0027
- Mailing Fax
- (706) 387-0073
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-27-2008
- Last Update Date
- 02-27-2008
- Code Navigator
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
Pain Medicine Pain Medicine
- Taxonomy Code
- 208VP0000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 032558
- License State
- GA
- Taxonomy Description
- Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
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.
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
- 11D2265492
- Facility Type
- School/Student Health Service
- Certificate Effective Date
- July 28, 2024
- Certificate Expiration Date
- July 27, 2026
- Laboratory Director
- AUDREY STELL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Jefferson Pain Clinic Inc 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 1710156393, 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710156393, enumerated as an "organization" on February 27, 2008.
The provider is located at 1351 WASHINGTON ST JEFFERSON, GA 30549 and the phone number is (706) 387-0027.
Pain Medicine with taxonomy code 208VP0000X.
