BEHAVIORAL PEDIATRICS OF RURAL GEORGIA
NPI 1760981609
Clinic/Center - Medical Specialty in Statesboro, GA

NPI Status: Active since February 06, 2018

Contact Information

406 SAVANNAH AVE
STATESBORO, GA
ZIP 30458
Phone: (912) 489-4379
Fax: (912) 681-4379

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  • Organization
  • Clinic/Center
  • Medical Specialty

About BEHAVIORAL PEDIATRICS OF RURAL GEORGIA

This page provides the complete NPI Profile along with additional information for Behavioral Pediatrics Of Rural Georgia, a provider established in Statesboro, Georgia operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1760981609 assigned on February 2018. The practitioner's primary taxonomy code is 261QM2500X with license number 56388 (GA). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Behavioral Pediatrics Of Rural Georgia. The authorized official of this NPI record is Dr. Michelle Reynolds Zeanah Md (Owner)

NPI
1760981609
Provider Legal Name
MICHELLE ZEANAH MD PC
Other Organization Name
BEHAVIORAL PEDIATRICS OF RURAL GEORGIA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
406 SAVANNAH AVE STATESBORO, GA 30458
Location Phone
(912) 489-4379
Location Fax
(912) 681-4379
Mailing Address
406 SAVANNAH AVE STATESBORO, GA 30458
Mailing Phone
(912) 489-4379
Mailing Fax
(912) 681-4379
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-06-2018
Last Update Date
12-28-2023
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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

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
License No.
56388
License State
GA
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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)
1251S00000XAgencies

Community/Behavioral Health

 

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. MICHELLE REYNOLDS ZEANAH MD

Authorized Official Title
OWNER
Authorized Official Phone
(912) 489-4379

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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.
1760981609
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27120188260
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 1 + 8 + 8 + 2 + 6 + 0 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1760981609 is valid because the calculated check digit 9 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.

MICHELLE R ZEANAH M.D.

Pediatrics

406 SAVANNAH AVE
STATESBORO, GA
ZIP 30458

(912) 489-4379

KYLEAH TYANA BOYD

Social Worker

406 SAVANNAH AVE
STATESBORO, GA
ZIP 30458

(912) 489-4379

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760981609, enumerated as an "organization" on February 06, 2018.

The provider is located at 406 SAVANNAH AVE STATESBORO, GA 30458 and the phone number is (912) 489-4379.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.