JACK H. GOTTLIEB, M.D.
NPI 1780998161
Internal Medicine in Columbia, SC

NPI Status: Active since July 28, 2010

Contact Information

2601 LAUREL ST
SUITE 120
COLUMBIA, SC
ZIP 29204
Phone: (803) 254-7889
Fax: (803) 254-7893

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  • Organization
  • Internal Medicine

About JACK H. GOTTLIEB, M.D.

This page provides the complete NPI Profile along with additional information for Jack H. Gottlieb, M.d., an internist established in Columbia, South Carolina operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1780998161 assigned on July 2010. The practitioner's primary taxonomy code is 207R00000X with license number 5205 (SC). 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 provider's is doing business as Jack H. Gottlieb, M.d.. The authorized official of this NPI record is Ms. Angela Haithcock (Project Manager)

NPI
1780998161
Provider Legal Name
AUGUSTINE HEALTH GROUP, LLC
Other Organization Name
JACK H. GOTTLIEB, M.D.
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2601 LAUREL ST SUITE 120 COLUMBIA, SC 29204
Location Phone
(803) 254-7889
Location Fax
(803) 254-7893
Mailing Address
114 GATEWAY CORPORATE BLVD SUITE 425 COLUMBIA, SC 29203
Mailing Phone
(803) 865-4780
Mailing Fax
(803) 254-7893
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-28-2010
Last Update Date
02-06-2012
Code Navigator

An internist like Jack H. Gottlieb, M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
5205
License State
SC
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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.

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.

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

MS. ANGELA HAITHCOCK

Authorized Official Title
PROJECT MANAGER
Authorized Official Phone
(803) 865-4780

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
C60686MEDICARE UPIN (02)SC 
052052MEDICAID (05)SC 

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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 1780998161, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

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
9
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
1
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
1
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 8 → 16 → 7 6 → 12 → 3

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 + 9 + 1 + 6 + 1 + 1 + 2 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1780998161.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Internal Medicine (Cardiovascular Disease)
2601 LAUREL ST, SUITE 260
COLUMBIA, SC 29204
Ophthalmology
2601 LAUREL ST, STE 110
COLUMBIA, SC 29204
Internal Medicine (Cardiovascular Disease)
2601 LAUREL ST, STE 260
COLUMBIA, SC 29204
Internal Medicine (Allergy & Immunology)
2601 LAUREL ST, #230
COLUMBIA, SC 29204
Internal Medicine
2601 LAUREL ST, SUITE 230
COLUMBIA, SC 29204
Internal Medicine (Interventional Cardiology)
2601 LAUREL ST, STE 260
COLUMBIA, SC 29204
Ophthalmology
2601 LAUREL ST, 110
COLUMBIA, SC 29204
Family Medicine
2601 LAUREL ST, SUITE 230
COLUMBIA, SC 29204

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780998161, enumerated as an "organization" on July 28, 2010.

The provider is located at 2601 LAUREL ST SUITE 120 COLUMBIA, SC 29204 and the phone number is (803) 254-7889.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.