316 FAMILY MEDICINE
NPI 1861915647
Family Medicine in Bremen, GA

NPI Status: Active since July 24, 2017

Contact Information

222 GORDON ST
BREMEN, GA
ZIP 30110
Phone: (770) 537-1234
Fax: (770) 537-1237

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  • Organization
  • Family Medicine
  • Accepts Insurance
  • CLIA Number: 11D2263011
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-21-2026

About 316 FAMILY MEDICINE

This page provides the complete NPI Profile along with additional information for 316 Family Medicine, a primary care provider established in Bremen, Georgia operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1861915647 assigned on July 2017. The practitioner's primary taxonomy code is 207Q00000X with license number 059986 (GA). The provider is registered as an organization and their NPI record was last updated one year 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 Noelle Smith (Practice Manager)

NPI
1861915647
Provider Name
316 FAMILY MEDICINE
Entity Type
Organization
Location Address
222 GORDON ST BREMEN, GA 30110
Location Phone
(770) 537-1234
Location Fax
(770) 537-1237
Mailing Address
PO BOX 728 BREMEN, GA 30110
Mailing Phone
(770) 537-1234
Mailing Fax
(770) 537-1237
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-24-2017
Last Update Date
03-20-2025
Code Navigator

A primary care provider (PCP) like 316 Family Medicine sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 107 Wedgewood Dr
    Carrollton, GA 30117
    (678) 390-7070
  • 527 Tanner St
    Carrollton, GA 30117
    (678) 390-6575
  • 820 Maple St
    Carrollton, GA 30117
    (678) 390-7900
  • 1017 Alabama Ave S
    Bremen, GA 30110
    (678) 390-7900
  • 1009 Alabama Ave S
    Bremen, GA 30110
    (678) 821-6400
  • 21178 Main Street
    Ranburne, AL 36273
    (938) 526-0010
  • 828 Pacific Ave
    Bremen, GA 30110
    (678) 390-7900

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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
059986
License State
GA
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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:

  • SoloCare Bronze EPO $8500 DED HSA 10004 - EPO
  • SoloCare Exp Bronze EPO $9500 DED 10015 - EPO
  • SoloCare Gold EPO $1500 DED 10010 - EPO
  • SoloCare Silver EPO $5000 DED 10014 - EPO
  • SoloCare Silver EPO $6500 DED 10013 - EPO
  • SoloCare Standard Exp Bronze EPO $7500 DED 10008 - EPO
  • SoloCare Standard Gold EPO $2000 DED 10006 - EPO
  • SoloCare Standard Platinum EPO $0 DED 10005 - EPO
  • SoloCare Standard Silver EPO $6000 DED 10007 - EPO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Standard Expanded Bronze - HMO
  • Standard Gold - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clarity Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO

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

NOELLE SMITH

Authorized Official Title
PRACTICE MANAGER
Authorized Official Phone
(770) 634-8905

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
1003540147OTHER (01)NPI
1457021628OTHER (01)NPI
1821630971OTHER (01)NPI
1841754611OTHER (01)NPI
1952951535OTHER (01)NPI
1154862910OTHER (01)NPI
1265208318OTHER (01)NPI
1295123792OTHER (01)NPI
1407005085OTHER (01)NPI
1598047730OTHER (01)NPI
1669710786OTHER (01)NPI
1871781476OTHER (01)NPI
059986OTHER (01)GASTATE LICENSE NUMBER
1265154884OTHER (01)NPI
1669982088OTHER (01)NPI
1184171886OTHER (01)NPI
1932556453OTHER (01)NPI
1932730306OTHER (01)NPI
1407443252OTHER (01)NPI
1811282346OTHER (01)NPI
1952854572OTHER (01)NPI
1023769965OTHER (01)NPI
1225441967OTHER (01)NPI
1407291925OTHER (01)NPI
1962851352OTHER (01)NPI

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
11D2263011
Facility Type
Physician Office
Certificate Effective Date
June 22, 2024
Certificate Expiration Date
June 21, 2026
Laboratory Director
ALLISON K. KEY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to 316 Family Medicine 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 1861915647, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
9
Doubled → 18 → 1 + 8
Pos 6
1
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
6
Unchanged
Pos 9
4
Doubled → 8
Check
7
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 9 → 18 → 9 5 → 10 → 1 4 → 8

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 + 8 + 1 + 1 + 0 + 6 + 8 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1861915647.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
222 GORDON ST
BREMEN, GA 30110
Nurse Practitioner
222 GORDON ST
BREMEN, GA 30110
Physician Assistant
222 GORDON ST
BREMEN, GA 30110
Nurse Practitioner
222 GORDON ST
BREMEN, GA 30110
Nurse Practitioner
222 GORDON ST
BREMEN, GA 30110
Physician Assistant
222 GORDON ST
BREMEN, GA 30110
Nurse Practitioner
222 GORDON ST
BREMEN, GA 30110
Pediatrics
222 GORDON ST
BREMEN, GA 30110
Nurse Practitioner (Primary Care)
222 GORDON ST
BREMEN, GA 30110
Health and Wellness Coach
222 GORDON ST
BREMEN, GA 30110

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861915647, enumerated as an "organization" on July 24, 2017.

The provider is located at 222 GORDON ST BREMEN, GA 30110 and the phone number is (770) 537-1234.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.