TANNER MEDICAL CENTER CARROLLTON BH
NPI 1871502260
Community/Behavioral Health in Carrollton, GA

NPI Status: Active since August 05, 2006

Contact Information

101 DOCTORS DR
CARROLLTON, GA
ZIP 30117
Phone: (770) 836-9697
Fax: (770) 836-9897

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  • Organization
  • Community/Behavioral Health
  • Accepts Insurance

About TANNER MEDICAL CENTER CARROLLTON BH

This page provides the complete NPI Profile along with additional information for Tanner Medical Center Carrollton Bh, a provider established in Carrollton, Georgia operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1871502260 assigned on August 2006. The practitioner's primary taxonomy code is 251S00000X with license number 022-426 (GA). The provider is registered as an organization and their NPI record was last updated 2 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 other name is Tanner Medical Center Carrollton Bh. The authorized official of this NPI record is Carol S. Crews (Cfo)

NPI
1871502260
Provider Legal Name
TANNER MEDICAL CENTER, INC
Other Organization Name
TANNER MEDICAL CENTER CARROLLTON BH
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
101 DOCTORS DR CARROLLTON, GA 30117
Location Phone
(770) 836-9697
Location Fax
(770) 836-9897
Mailing Address
109 CEDAR ST STE C CARROLLTON, GA 30117
Mailing Phone
(770) 812-5770
Mailing Fax
(770) 836-9897
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-05-2006
Last Update Date
10-02-2024
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
022-426
License State
GA
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

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)
1101Y00000XBehavioral Health & Social Service Providers

Counselor

NOT REQUIRED (GA)

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
  • MENDING Direct Primary Care Bronze 4950 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
  • MENDING Direct Primary Care Gold $0 Ded ($0 DPC $0 PCP + $0 Mental Health) - HMO
  • MENDING Direct Primary Care Silver 2300 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
  • MENDING Standard Bronze (No Direct Primary Care, for DPC select DPC Bronze) - HMO
  • MENDING Standard Gold (No Direct Primary Care, for DPC select DPC Gold) - HMO
  • MENDING Standard Silver (No Direct Primary Care, for DPC select DPC Silver) - HMO

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

CAROL S. CREWS

Authorized Official Title
CFO
Authorized Official Phone
(770) 812-9745

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
300027104AOTHER (01)GAMEDICAID PAYEE IDENTIFICATION NUMBER
296667723AMEDICAID (05)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 1871502260, we treat the final digit (0) 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

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
7
Doubled → 14 → 1 + 4
Pos 4
1
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
0
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
0
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 7 → 14 → 5 5 → 10 → 1 2 → 4 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 + 1 + 4 + 1 + 1 + 0 + 0 + 4 + 2 + 1 + 2 + 24 = 50

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

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1871502260.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Internal Medicine
101 DOCTORS DR
CARROLLTON, GA 30117
Internal Medicine
101 DOCTORS DR
CARROLLTON, GA 30117
Internal Medicine
101 DOCTORS DR
CARROLLTON, GA 30117
Internal Medicine
101 DOCTORS DR
CARROLLTON, GA 30117
Internal Medicine
101 DOCTORS DR
CARROLLTON, GA 30117
Nurse Practitioner (Family)
101 DOCTORS DR
CARROLLTON, GA 30117

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871502260, enumerated as an "organization" on August 05, 2006.

The provider is located at 101 DOCTORS DR CARROLLTON, GA 30117 and the phone number is (770) 836-9697.

Community/Behavioral Health with taxonomy code 251S00000X.

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