MOULTRIE UROLOGICAL CLINIC, INC
NPI 1861695579
Specialist in Moultrie, GA

NPI Status: Active since June 08, 2007

Contact Information

2 HOSPITAL PARK
MOULTRIE, GA
ZIP 31768
Phone: (229) 985-3066
Fax: (229) 890-2092

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  • Organization
  • Specialist

About MOULTRIE UROLOGICAL CLINIC, INC

This page provides the complete NPI Profile along with additional information for Moultrie Urological Clinic, Inc, a provider established in Moultrie, Georgia operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1861695579 assigned on June 2007. The practitioner's primary taxonomy code is 174400000X with license number 031557 (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 authorized official of this NPI record is Mrs. Maha Kassis Baddour Rmm, Mba (Practice Manager)

NPI
1861695579
Provider Name
MOULTRIE UROLOGICAL CLINIC, INC
Entity Type
Organization
Location Address
2 HOSPITAL PARK MOULTRIE, GA 31768
Location Phone
(229) 985-3066
Location Fax
(229) 890-2092
Mailing Address
2 HOSPITAL PARK MOULTRIE, GA 31768
Mailing Phone
(229) 985-3066
Mailing Fax
(229) 890-2092
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-08-2007
Last Update Date
03-24-2010
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
031557
License State
GA
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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

MRS. MAHA KASSIS BADDOUR RMM, MBA

Authorized Official Title
PRACTICE MANAGER
Authorized Official Phone
(229) 985-3066

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
00400518AMEDICAID (05)GA 
GRP4674MEDICARE PIN (08)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 1861695579, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
6
Doubled → 12 → 1 + 2
Pos 4
1
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
5
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
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 6 → 12 → 3 6 → 12 → 3 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 2 + 1 + 1 + 2 + 9 + 1 + 0 + 5 + 1 + 4 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1861695579.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Clinic/Center (Ambulatory Surgical)
2 HOSPITAL PARK
MOULTRIE, GA 31768
Podiatrist
2 HOSPITAL PARK
MOULTRIE, GA 31768

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861695579, enumerated as an "organization" on June 08, 2007.

The provider is located at 2 HOSPITAL PARK MOULTRIE, GA 31768 and the phone number is (229) 985-3066.

Specialist with taxonomy code 174400000X.

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