PARKWAY FAMILY MEDICINE LLC
NPI 1730486598
Clinic/Center - Primary Care in Pooler, GA
NPI Status: Active since February 14, 2011
Contact Information
122 CANAL ST STE 102
POOLER, GA
ZIP 31322
Phone: (912) 450-0999
Fax: (912) 450-0999
- Organization
- Clinic/Center
- Primary Care
- CLIA Number: 11D2190836
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-18-2026
About PARKWAY FAMILY MEDICINE LLC
This page provides the complete NPI Profile along with additional information for Parkway Family Medicine Llc, a primary care provider established in Pooler, Georgia operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1730486598 assigned on February 2011. The practitioner's primary taxonomy code is 261QP2300X with license number RN064864 (GA). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's former legal business name is Womens Healthcare And Family Medicine. The authorized official of this NPI record is Ludella Brown Apn, Dnp (Advanced Practice Nurse)
- NPI
- 1730486598
- Provider Legal Name
- PARKWAY FAMILY MEDICINE LLC
- Other Organization Name
- WOMENS HEALTHCARE AND FAMILY MEDICINE
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 122 CANAL ST STE 102 POOLER, GA 31322
- Location Phone
- (912) 450-0999
- Location Fax
- (912) 450-0999
- Mailing Address
- 122 CANAL ST STE 102 POOLER, GA 31322
- Mailing Phone
- (912) 450-0999
- Mailing Fax
- (912) 450-0999
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-14-2011
- Last Update Date
- 08-03-2023
- Code Navigator
A primary care provider (PCP) like Parkway Family Medicine Llc 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 Primary Care
- Taxonomy Code
- 261QP2300X
- Type
- Ambulatory Health Care Facilities
- License No.
- RN064864
- License State
- 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 |
|---|---|---|---|
| 153640219H | MEDICAID (05) | GA |
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
- 11D2190836
- Facility Type
- Physician Office
- Certificate Effective Date
- August 19, 2024
- Certificate Expiration Date
- August 18, 2026
- Laboratory Director
- DR. LUDELLA BROWN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Parkway Family Medicine 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 Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 3 | 0 | 4 | 8 | 6 | 5 | 9 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 6 | 0 | 8 | 8 | 12 | 5 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 6 + 0 + 8 + 8 + 1 + 2 + 5 + 1 + 8 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1730486598 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
PREMIER WEIGHT LOSS MANAGEMENT
Preventive Medicine
(Obesity Medicine)
122 CANAL ST STE 102
POOLER, GA
ZIP 31322
JACQUELINE ANN BROWN FNP
Nurse Practitioner
(Family)
122 CANAL ST STE 102
POOLER, GA
ZIP 31322
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730486598, enumerated as an "organization" on February 14, 2011.
The provider is located at 122 CANAL ST STE 102 POOLER, GA 31322 and the phone number is (912) 450-0999.
Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
