PEACHTREE SPINE PHYSICIANS, INC
NPI 1831407535
Physical Medicine & Rehabilitation - Pain Medicine in Lilburn, GA
NPI Status: Active since September 16, 2010
Contact Information
4705 LAWRENCEVILLE HWY NW STE A
LILBURN, GA
ZIP 30047
Phone: (404) 843-3323
Fax: (404) 574-5944
- Organization
- Physical Medicine & Rehabilitation
- Pain Medicine
- CLIA Number: 11D1028915
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 08-04-2026
About PEACHTREE SPINE PHYSICIANS, INC
This page provides the complete NPI Profile along with additional information for Peachtree Spine Physicians, Inc, a provider established in Lilburn, Georgia operating as a Physical Medicine & Rehabilitation, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1831407535 assigned on September 2010. The practitioner's primary taxonomy code is 2081P2900X with license number 046109 (GA). The provider is registered as an organization and their NPI record was last updated 16 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 Peachtree Spine Physicians, Inc. The authorized official of this NPI record is Dr. Jeffrey S Grossman Md (President)
- NPI
- 1831407535
- Provider Legal Name
- PEACHTREE SPINE & PAIN PHYSICIANS, INC
- Other Organization Name
- PEACHTREE SPINE PHYSICIANS, INC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4705 LAWRENCEVILLE HWY NW STE A LILBURN, GA 30047
- Location Phone
- (404) 843-3323
- Location Fax
- (404) 574-5944
- Mailing Address
- 5555 PEACHTREE DUNWOODY RD NE STE 201 ATLANTA, GA 30342
- Mailing Phone
- (404) 843-3323
- Mailing Fax
- (404) 574-5944
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-16-2010
- Last Update Date
- 09-16-2010
- Code Navigator
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
Physical Medicine & Rehabilitation Pain Medicine
- Taxonomy Code
- 2081P2900X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 046109
- License State
- GA
- Taxonomy Description
- A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
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.
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
- 11D1028915
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- August 05, 2024
- Certificate Expiration Date
- August 04, 2026
- Laboratory Director
- JEFFREY S. GROSSMAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Peachtree Spine Physicians, Inc 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 1831407535, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831407535, enumerated as an "organization" on September 16, 2010.
The provider is located at 4705 LAWRENCEVILLE HWY NW STE A LILBURN, GA 30047 and the phone number is (404) 843-3323.
Physical Medicine & Rehabilitation with taxonomy code 2081P2900X and a focus in Pain Medicine.
