ROSWELL PAIN SURGICAL CENTER
NPI 1912388976
Clinic/Center - Ambulatory Surgical in Roswell, GA
NPI Status: Active since June 16, 2015
Contact Information
1300 UPPER HEMBREE RD
SUITE B
ROSWELL, GA
ZIP 30076
Phone: (678) 736-7680
Fax: (888) 537-5362
- Organization
- Clinic/Center
- Ambulatory Surgical
- Accepts Insurance
- CLIA Number: 11D2138891
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 10-25-2027
About ROSWELL PAIN SURGICAL CENTER
This page provides the complete NPI Profile along with additional information for Roswell Pain Surgical Center, a provider established in Roswell, Georgia operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1912388976 assigned on June 2015. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Dr. Damon Christian Kimes Sr. Md (Owner)
- NPI
- 1912388976
- Provider Name
- ROSWELL PAIN SURGICAL CENTER
- Entity Type
- Organization
- Location Address
- 1300 UPPER HEMBREE RD SUITE B ROSWELL, GA 30076
- Location Phone
- (678) 736-7680
- Location Fax
- (888) 537-5362
- Mailing Address
- 1300 UPPER HEMBREE RD SUITE B ROSWELL, GA 30076
- Mailing Phone
- (678) 736-7680
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-16-2015
- Last Update Date
- 06-16-2015
- Code Navigator
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
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Balance by Medica Bronze $0 Copay PCP Visits - EPO
- Balance by Medica Bronze Premier - EPO
- Balance by Medica Expanded Bronze Standard - EPO
- Balance by Medica Gold $0 Copay PCP Visits - EPO
- Balance by Medica Gold Share - EPO
- Balance by Medica Gold Standard - EPO
- Balance by Medica Silver $0 Copay PCP Visits - EPO
- Balance by Medica Silver Share - EPO
- Balance by Medica Silver Standard - EPO
- Medica with MU Health Care Bronze $0 Copay PCP Visits - EPO
- Medica with MU Health Care Bronze Premier - EPO
- Medica with MU Health Care Expanded Bronze Standard - EPO
- Medica with MU Health Care Gold $0 Copay PCP Visits - EPO
- Medica with MU Health Care Gold Share - EPO
- Medica with MU Health Care Gold Standard - EPO
- Medica with MU Health Care Silver $0 Copay PCP Visits - EPO
- Medica with MU Health Care Silver Share - EPO
- Medica with MU Health Care Silver Standard - EPO
- Select by Medica Bronze $0 Copay PCP Visits - EPO
- Select by Medica Bronze Share - 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
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 11D2138891
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- October 26, 2025
- Certificate Expiration Date
- October 25, 2027
- Laboratory Director
- DAMON C. KIMES
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Roswell Pain Surgical Center 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 ROSWELL PAIN SURGICAL CENTER
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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 1912388976, we treat the final digit (6) 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).
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 74 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
ROSWELL, GA 30076
ROSWELL, GA 30076
ROSWELL, GA 30076
ROSWELL, GA 30076
ROSWELL, GA 30076
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912388976, enumerated as an "organization" on June 16, 2015.
The provider is located at 1300 UPPER HEMBREE RD SUITE B ROSWELL, GA 30076 and the phone number is (678) 736-7680.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
The provider might be accepting Accepts: Medica and Mending Health. Please consult your insurance carrier or call the provider to verify.
