PRIME DIRECT CARE
NPI 1881358125
Registered Nurse - General Practice in Stockbridge, GA
NPI Status: Active since October 22, 2021
Contact Information
9070 PERIDOT PKWY
STOCKBRIDGE, GA
ZIP 30281
Phone: (678) 907-0663
Fax: (770) 261-1241
- Organization
- Registered Nurse
- General Practice
- CLIA Number: 11D2228485
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-27-2027
About PRIME DIRECT CARE
This page provides the complete NPI Profile along with additional information for Prime Direct Care, a provider established in Stockbridge, Georgia operating as a Registered Nurse, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1881358125 assigned on October 2021. The practitioner's primary taxonomy code is 163WG0000X. 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 Mrs. Bridget Randolph Np (Owner/operator)
- NPI
- 1881358125
- Provider Name
- PRIME DIRECT CARE
- Entity Type
- Organization
- Location Address
- 9070 PERIDOT PKWY STOCKBRIDGE, GA 30281
- Location Phone
- (678) 907-0663
- Location Fax
- (770) 261-1241
- Mailing Address
- 1415 HIGHWAY 85 N STE 609 FAYETTEVILLE, GA 30214
- Mailing Phone
- (678) 907-0663
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-22-2021
- Last Update Date
- 10-22-2021
- Code Navigator
A registered nurse (RN) like Prime Direct Care coordinates and provides patient care and educates patients about various health conditions. Registered nurses give advice and emotional support to patients and their families. The typical duties of a registered nurse include: assessing patient conditions, record medical histories and symptoms, observe patients and record the observations, administer medicines and treatments, consult and collaborate with doctors, operate and monitor medical equipment, teach patients and families how to manage injuries or illnesses, etc.
Registered nurses typically work as part of a team with physicians and other healthcare professionals. In some medical teams registered nurses supervise nursing assistants, licensed practical nurses, and home health aides.
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
Registered Nurse General Practice
- Taxonomy Code
- 163WG0000X
- Type
- Nursing Service Providers
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.
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
- 11D2228485
- Facility Type
- Physician Office
- Certificate Effective Date
- June 28, 2025
- Certificate Expiration Date
- June 27, 2027
- Laboratory Director
- BRIDGETT RANDOLPH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Prime Direct Care 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 1881358125, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881358125, enumerated as an "organization" on October 22, 2021.
The provider is located at 9070 PERIDOT PKWY STOCKBRIDGE, GA 30281 and the phone number is (678) 907-0663.
Registered Nurse with taxonomy code 163WG0000X and a focus in General Practice.
