NISAR MEDICAL CENTER, INC.
NPI 1912165671
Legal Medicine in Dalton, GA

NPI Status: Active since May 29, 2008

Contact Information

1407 CHATTANOOGA AVE
SUITE B
DALTON, GA
ZIP 30720
Phone: (706) 279-1757
Fax: (706) 279-1758

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  • Organization
  • Legal Medicine
  • Accepts Insurance
  • CLIA Number: 11D1087897
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-20-2025

About NISAR MEDICAL CENTER, INC.

This page provides the complete NPI Profile along with additional information for Nisar Medical Center, Inc., a provider established in Dalton, Georgia operating as a Legal Medicine. The healthcare provider is registered in the NPI registry with number 1912165671 assigned on May 2008. The practitioner's primary taxonomy code is 173000000X with license number 042375 (GA). The provider is registered as an organization and their NPI record was last updated 18 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 is doing business as Nisar Medical Center, Inc.. The authorized official of this NPI record is Dr. Azhar Nisar M.d. (Physician)

NPI
1912165671
Provider Legal Name
NISAR MEDICAL CENTER, INC.
Other Organization Name
NISAR MEDICAL CENTER, INC.
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1407 CHATTANOOGA AVE SUITE B DALTON, GA 30720
Location Phone
(706) 279-1757
Location Fax
(706) 279-1758
Mailing Address
1407 CHATTANOOGA AVE SUITE B DALTON, GA 30720
Mailing Phone
(706) 279-1757
Mailing Fax
(706) 279-1758
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-29-2008
Last Update Date
05-29-2008
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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

Legal Medicine

Taxonomy Code
173000000X
Type
Other Service Providers
License No.
042375
License State
GA
Taxonomy Description
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

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

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. AZHAR NISAR M.D.

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(706) 279-1757

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
000728494CMEDICAID (05)GA 

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
11D1087897
Facility Type
Physician Office
Certificate Effective Date
November 21, 2023
Certificate Expiration Date
November 20, 2025
Laboratory Director
AZHAR NISAR
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Nisar Medical Center, Inc. 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.

Reviews for NISAR MEDICAL CENTER, INC.

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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 1912165671, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
9
Unchanged
Pos 3
1
Doubled → 2
Pos 4
2
Unchanged
Pos 5
1
Doubled → 2
Pos 6
6
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
6
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
1
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 1 → 2 1 → 2 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 2 + 2 + 2 + 6 + 1 + 0 + 6 + 1 + 4 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1912165671.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Internal Medicine
1407 CHATTANOOGA AVE, SUITE B
DALTON, GA 30720
Legal Medicine
1407 CHATTANOOGA AVE, SUITE A
DALTON, GA 30720
Internal Medicine
1407 CHATTANOOGA AVE, SUITE A
DALTON, GA 30720
Internal Medicine
1407 CHATTANOOGA AVE
DALTON, GA 30720

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912165671, enumerated as an "organization" on May 29, 2008.

The provider is located at 1407 CHATTANOOGA AVE SUITE B DALTON, GA 30720 and the phone number is (706) 279-1757.

Legal Medicine with taxonomy code 173000000X.

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