NORTHLAKE ENDOSCOPY CENTER
NPI 1871594499
Clinic/Center - Ambulatory Surgical in Tucker, GA

NPI Status: Active since August 04, 2005

Contact Information

1459 MONTREAL RD
SU 204
TUCKER, GA
ZIP 30084
Phone: (770) 939-4721
Fax: (770) 939-1187

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical

About NORTHLAKE ENDOSCOPY CENTER

This page provides the complete NPI Profile along with additional information for Northlake Endoscopy Center, a provider established in Tucker, Georgia operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1871594499 assigned on August 2005. The practitioner's primary taxonomy code is 261QA1903X with license number 044047 (GA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Dr. Ralph Robert Beton Md (President)

NPI
1871594499
Provider Name
NORTHLAKE ENDOSCOPY CENTER
Entity Type
Organization
Location Address
1459 MONTREAL RD SU 204 TUCKER, GA 30084
Location Phone
(770) 939-4721
Location Fax
(770) 939-1187
Mailing Address
1459 MONTREAL RD SU 204 TUCKER, GA 30084
Mailing Phone
(770) 939-4721
Mailing Fax
(770) 939-1187
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-04-2005
Last Update Date
05-08-2008
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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

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
044047
License State
GA

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

DR. RALPH ROBERT BETON MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(770) 939-4721

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
111031ASCAMEDICARE ID-TYPE UNSPECIFIED (04)GA 
000468652AMEDICAID (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 1871594499, 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 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
7
Doubled → 14 → 1 + 4
Pos 4
1
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
9
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
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 7 → 14 → 5 5 → 10 → 1 4 → 8 9 → 18 → 9

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 + 9 + 8 + 4 + 1 + 8 + 24 = 71

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

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1871594499.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Specialist
1459 MONTREAL RD, SU 204
TUCKER, GA 30084
Surgery
1459 MONTREAL RD, SUITE 300
TUCKER, GA 30084
Family Medicine
1459 MONTREAL RD, SUITE 304
TUCKER, GA 30084
Obstetrics & Gynecology (Gynecologic Oncology)
1459 MONTREAL RD, SUITE 408
TUCKER, GA 30084
Eyewear Supplier
1459 MONTREAL RD, SUITE 100
TUCKER, GA 30084
Internal Medicine
1459 MONTREAL RD, STE 312
TUCKER, GA 30084
Ophthalmology
1459 MONTREAL RD, STE 501
TUCKER, GA 30084
Nurse Practitioner (Adult Health)
1459 MONTREAL RD, SUITE 207
TUCKER, GA 30084
Internal Medicine
1459 MONTREAL RD, SUITE 304
TUCKER, GA 30084
Physician Assistant
1459 MONTREAL RD
TUCKER, GA 30084
Physical Therapist
1459 MONTREAL RD
TUCKER, GA 30084
Surgery (Surgical Oncology)
1459 MONTREAL RD, 408
TUCKER, GA 30084
Specialist
1459 MONTREAL RD, SU 204
TUCKER, GA 30084
Physical Therapist
1459 MONTREAL RD, SUITE 207
TUCKER, GA 30084
Physical Therapist
1459 MONTREAL RD
TUCKER, GA 30084

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871594499, enumerated as an "organization" on August 04, 2005.

The provider is located at 1459 MONTREAL RD SU 204 TUCKER, GA 30084 and the phone number is (770) 939-4721.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

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