SHAMROCK ANESTHESIA LLC
NPI 1780944694
Nurse Anesthetist, Certified Registered in Dublin, GA

NPI Status: Active since May 24, 2012

Contact Information

2400 BELLEVUE RD STE 22
DUBLIN, GA
ZIP 31021
Phone: (478) 275-4740
Fax: (478) 275-0533

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  • Organization
  • Nurse Anesthetist, Certified Registered
  • CLIA Number: 11D0263466
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 08-31-2026

About SHAMROCK ANESTHESIA LLC

This page provides the complete NPI Profile along with additional information for Shamrock Anesthesia Llc, a provider established in Dublin, Georgia operating as a Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1780944694 assigned on May 2012. The practitioner's primary taxonomy code is 367500000X. The provider is registered as an organization and their NPI record was last updated 14 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 Mrs. Susan L Young (Practice Manager)

NPI
1780944694
Provider Name
SHAMROCK ANESTHESIA LLC
Entity Type
Organization
Location Address
2400 BELLEVUE RD STE 22 DUBLIN, GA 31021
Location Phone
(478) 275-4740
Location Fax
(478) 275-0533
Mailing Address
2400 BELLEVUE RD STE 22 P. O. BOX 1716 DUBLIN, GA 31021
Mailing Phone
(478) 275-4740
Mailing Fax
(478) 275-0533
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-24-2012
Last Update Date
05-24-2012
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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

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License State
GA
Taxonomy Description
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

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

MRS. SUSAN L YOUNG

Authorized Official Title
PRACTICE MANAGER
Authorized Official Phone
(478) 275-4740

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
11D0263466
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
KIMBERLY M. KING
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Shamrock Anesthesia 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 1780944694, we treat the final digit (4) 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 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 4).

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
8
Doubled → 16 → 1 + 6
Pos 4
0
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
4
Unchanged
Pos 7
4
Doubled → 8
Pos 8
6
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
4
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 8 → 16 → 7 9 → 18 → 9 4 → 8 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 6 + 0 + 1 + 8 + 4 + 8 + 6 + 1 + 8 + 24 = 76

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

The next multiple of ten after 76 is 80. The difference is the calculated check digit.

80 - 76 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1780944694.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Nurse Anesthetist, Certified Registered
2400 BELLEVUE RD STE 22
DUBLIN, GA 31021
Nurse Anesthetist, Certified Registered
2400 BELLEVUE RD STE 22
DUBLIN, GA 31021
Prosthetic/Orthotic Supplier
2400 BELLEVUE RD STE 22
DUBLIN, GA 31021

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780944694, enumerated as an "organization" on May 24, 2012.

The provider is located at 2400 BELLEVUE RD STE 22 DUBLIN, GA 31021 and the phone number is (478) 275-4740.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.