KENNY R. SINERVO, MD, LLC
NPI 1841966462
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Atlanta, GA

NPI Status: Active since August 23, 2021

Contact Information

6105 PEACHTREE DUNWOODY RD STE B230
ATLANTA, GA
ZIP 30328
Phone: (770) 913-0001
Fax: (770) 913-0005

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  • Organization
  • Obstetrics & Gynecology
  • Urogynecology and Reconstructive Pelvic ...
  • CLIA Number: 11D0663784
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-20-2027

About KENNY R. SINERVO, MD, LLC

This page provides the complete NPI Profile along with additional information for Kenny R. Sinervo, Md, Llc, a women's health care provider established in Atlanta, Georgia operating as a Obstetrics & Gynecology, focusing in urogynecology and reconstructive pelvic surgery . The healthcare provider is registered in the NPI registry with number 1841966462 assigned on August 2021. The practitioner's primary taxonomy code is 207VF0040X. The provider is registered as an organization and their NPI record was last updated 5 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 Anna Dorris (Practice Manager)

NPI
1841966462
Provider Name
KENNY R. SINERVO, MD, LLC
Entity Type
Organization
Location Address
6105 PEACHTREE DUNWOODY RD STE B230 ATLANTA, GA 30328
Location Phone
(770) 913-0001
Location Fax
(770) 913-0005
Mailing Address
6105 PEACHTREE DUNWOODY RD STE B230 ATLANTA, GA 30328
Mailing Phone
(770) 913-0001
Mailing Fax
(770) 913-0005
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-23-2021
Last Update Date
08-23-2021
Code Navigator

Women's health care providers like Kenny R. Sinervo, Md, Llc treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, 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

Obstetrics & Gynecology Urogynecology and Reconstructive Pelvic Surgery

Taxonomy Code
207VF0040X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

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

ANNA DORRIS

Authorized Official Title
PRACTICE MANAGER
Authorized Official Phone
(770) 913-0001

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
11D0663784
Facility Type
Physician Office
Certificate Effective Date
June 21, 2025
Certificate Expiration Date
June 20, 2027
Laboratory Director
KENNY R. SINERVO
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Kenny R. Sinervo, Md, Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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 1841966462, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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
4
Doubled → 8
Pos 4
1
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
4
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
2
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 4 → 8 9 → 18 → 9 6 → 12 → 3 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 8 + 1 + 1 + 8 + 6 + 1 + 2 + 4 + 1 + 2 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1841966462.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Obstetrics & Gynecology
6105 PEACHTREE DUNWOODY RD STE B230
ATLANTA, GA 30328

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841966462, enumerated as an "organization" on August 23, 2021.

The provider is located at 6105 PEACHTREE DUNWOODY RD STE B230 ATLANTA, GA 30328 and the phone number is (770) 913-0001.

Obstetrics & Gynecology with taxonomy code 207VF0040X and a focus in Urogynecology and Reconstructive Pelvic Surgery.