MAGNOLIA MIDLANDS PAIN MANAGEMENT
NPI 1811124456
Anesthesiology - Pain Medicine in Jesup, GA

NPI Status: Active since June 22, 2009

Contact Information

186 S. MACON ST.
JESUP, GA
ZIP 31545
Phone: (912) 530-7516
Fax: (912) 530-7517

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  • Organization
  • Anesthesiology
  • Pain Medicine

About MAGNOLIA MIDLANDS PAIN MANAGEMENT

This page provides the complete NPI Profile along with additional information for Magnolia Midlands Pain Management, a provider established in Jesup, Georgia operating as a Anesthesiology, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1811124456 assigned on June 2009. The practitioner's primary taxonomy code is 207LP2900X with license number 062371 (GA). The provider is registered as an organization and their NPI record was last updated 14 years ago. Magnolia Midlands Pain Management operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mrs. Mandy Burke (Office Manager)

NPI
1811124456
Provider Name
MAGNOLIA MIDLANDS PAIN MANAGEMENT
Entity Type
Organization
Location Address
186 S. MACON ST. JESUP, GA 31545
Location Phone
(912) 530-7516
Location Fax
(912) 530-7517
Mailing Address
186 S. MACON STREET JESUP, GA 31545
Mailing Phone
(912) 530-7516
Mailing Fax
(912) 530-7517
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-22-2009
Last Update Date
11-05-2012
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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

Anesthesiology Pain Medicine

Taxonomy Code
207LP2900X
Type
Allopathic & Osteopathic Physicians
License No.
062371
License State
GA
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.

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)
1174400000XOther Service Providers

Specialist

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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

MRS. MANDY BURKE

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(912) 530-7516

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
166390878AMEDICAID (05)GA 
41146BMEDICARE UPIN (02)GA 
202G703902MEDICARE PIN (08)GA 
6373750001MEDICARE NSC (07)GA 

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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 1811124456, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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
8
Unchanged
Pos 3
1
Doubled → 2
Pos 4
1
Unchanged
Pos 5
1
Doubled → 2
Pos 6
2
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
6
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 1 → 2 4 → 8 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 2 + 1 + 2 + 2 + 8 + 4 + 1 + 0 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1811124456.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811124456, enumerated as an "organization" on June 22, 2009.

The provider is located at 186 S. MACON ST. JESUP, GA 31545 and the phone number is (912) 530-7516.

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

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