JUBILEE PRIMARY CARE PC
NPI 1891393005
Family Medicine - Addiction Medicine in Suwanee, GA

NPI Status: Active since October 12, 2020

Contact Information

3312 HEATHCHASE LN
SUWANEE, GA
ZIP 30024
Phone: (678) 783-4860
Fax: (678) 940-0509

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  • Organization
  • Family Medicine
  • Addiction Medicine

About JUBILEE PRIMARY CARE PC

This page provides the complete NPI Profile along with additional information for Jubilee Primary Care Pc, a provider established in Suwanee, Georgia operating as a Family Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1891393005 assigned on October 2020. The practitioner's primary taxonomy code is 207QA0401X. The provider is registered as an organization and their NPI record was last updated 6 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 Avril Patrice Daisley Shongo Md (Provider)

NPI
1891393005
Provider Name
JUBILEE PRIMARY CARE PC
Entity Type
Organization
Location Address
3312 HEATHCHASE LN SUWANEE, GA 30024
Location Phone
(678) 783-4860
Location Fax
(678) 940-0509
Mailing Address
2090 LAWRENCEVILLE SUWANEE RD SUITE A#519 SUWANEE, GA 30024
Mailing Phone
(678) 783-4860
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-12-2020
Last Update Date
10-30-2020
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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

Family Medicine Addiction Medicine

Taxonomy Code
207QA0401X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A family medicine physician who specializes in the diagnosis and treatment of addictions.

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.

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

AVRIL PATRICE DAISLEY SHONGO MD

Authorized Official Title
PROVIDER
Authorized Official Phone
(678) 783-4860

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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 1891393005, 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.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
1
Unchanged
Pos 5
3
Doubled → 6
Pos 6
9
Unchanged
Pos 7
3
Doubled → 6
Pos 8
0
Unchanged
Pos 9
0
Doubled → 0
Check
5
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 9 → 18 → 9 3 → 6 3 → 6 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 8 + 1 + 6 + 9 + 6 + 0 + 0 + 24 = 65

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.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1891393005.

Other Providers at the Same Location


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

Psychiatry & Neurology (Addiction Psychiatry)
3312 HEATHCHASE LN
SUWANEE, GA 30024
Family Medicine
3312 HEATHCHASE LN, ADDRESS LINE 2
SUWANEE, GA 30024

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891393005, enumerated as an "organization" on October 12, 2020.

The provider is located at 3312 HEATHCHASE LN SUWANEE, GA 30024 and the phone number is (678) 783-4860.

Family Medicine with taxonomy code 207QA0401X and a focus in Addiction Medicine.