HARBOR INTERVENTIONAL PAIN CENTER, LLC
NPI 1710627237
Anesthesiology - Pain Medicine in Savannah, GA

NPI Status: Active since March 31, 2022

Contact Information

4849 PAULSEN ST STE 312
SAVANNAH, GA
ZIP 31405
Phone: (413) 218-1201

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  • Organization
  • Anesthesiology
  • Pain Medicine
  • CLIA Number: 30D2276499
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-08-2027

About HARBOR INTERVENTIONAL PAIN CENTER, LLC

This page provides the complete NPI Profile along with additional information for Harbor Interventional Pain Center, Llc, a provider established in Savannah, Georgia operating as a Anesthesiology, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1710627237 assigned on March 2022. The practitioner's primary taxonomy code is 207LP2900X. 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 Dr. Timothy Lester Lacy Md (Principal)

NPI
1710627237
Provider Name
HARBOR INTERVENTIONAL PAIN CENTER, LLC
Entity Type
Organization
Location Address
4849 PAULSEN ST STE 312 SAVANNAH, GA 31405
Location Phone
(413) 218-1201
Mailing Address
102 S TRAIL WAY # B9 POOLER, GA 31322
Mailing Phone
(413) 218-1201
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-31-2022
Last Update Date
03-31-2022
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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

Anesthesiology Pain Medicine

Taxonomy Code
207LP2900X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

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.

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. TIMOTHY LESTER LACY MD

Authorized Official Title
PRINCIPAL
Authorized Official Phone
(413) 218-1201

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
30D2276499
Facility Type
Physician Office
Certificate Effective Date
February 09, 2025
Certificate Expiration Date
February 08, 2027
Laboratory Director
TIMOTHY L. LACY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Harbor Interventional Pain Center, Llc 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 1710627237, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

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
6
Doubled → 12 → 1 + 2
Pos 6
2
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
2
Unchanged
Pos 9
3
Doubled → 6
Check
7
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 6 → 12 → 3 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 + 2 + 0 + 1 + 2 + 2 + 1 + 4 + 2 + 6 + 24 = 53

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

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1710627237.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Nurse Practitioner
4849 PAULSEN ST STE 312
SAVANNAH, GA 31405
Ophthalmology (Glaucoma Specialist)
4849 PAULSEN ST STE 312
SAVANNAH, GA 31405
Ophthalmology
4849 PAULSEN ST STE 312
SAVANNAH, GA 31405
Optometrist
4849 PAULSEN ST STE 312
SAVANNAH, GA 31405

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710627237, enumerated as an "organization" on March 31, 2022.

The provider is located at 4849 PAULSEN ST STE 312 SAVANNAH, GA 31405 and the phone number is (413) 218-1201.

Anesthesiology with taxonomy code 207LP2900X and a focus in Pain Medicine.