COLISEUM PRIMARY HEALTHCARE
NPI 1912947367
Internal Medicine in Macon, GA

NPI Status: Active since June 07, 2006

Contact Information

360 HOSPITAL DR
SUITE 110
MACON, GA
ZIP 31217
Phone: (478) 841-2707

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  • Organization
  • Internal Medicine

About COLISEUM PRIMARY HEALTHCARE

This page provides the complete NPI Profile along with additional information for Coliseum Primary Healthcare, an internist established in Macon, Georgia operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1912947367 assigned on June 2006. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. Coliseum Primary Healthcare operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Coliseum Primary Healthcare. The authorized official of this NPI record is Mickey Pickler (Vp)

NPI
1912947367
Provider Legal Name
COLISEUM HEALTH GROUP, LLC
Other Organization Name
COLISEUM PRIMARY HEALTHCARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
360 HOSPITAL DR SUITE 110 MACON, GA 31217
Location Phone
(478) 841-2707
Mailing Address
360 HOSPITAL DR SUITE 110 MACON, GA 31217
Mailing Phone
(478) 841-2707
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-07-2006
Last Update Date
04-20-2008
Code Navigator

An internist like Coliseum Primary Healthcare is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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.

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

MICKEY PICKLER

Authorized Official Title
VP
Authorized Official Phone
(478) 841-2707

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
GRP5184MEDICARE ID-TYPE UNSPECIFIED (04)GACAHABA MEDICARE/ GA MEDIC
=========OTHER (01)GACHAMPUS TRICARE PROGRAM
DA9580MEDICARE ID-TYPE UNSPECIFIED (04)GARAILROAD MEDICARE

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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 1912947367, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
9
Doubled → 18 → 1 + 8
Pos 6
4
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
3
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
7
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 9 → 18 → 9 7 → 14 → 5 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 2 + 2 + 1 + 8 + 4 + 1 + 4 + 3 + 1 + 2 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1912947367.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Internal Medicine (Cardiovascular Disease)
360 HOSPITAL DR, BLDG D, STE 200
MACON, GA 31217
Nurse Practitioner
360 HOSPITAL DR, BLDG. D, SUITE 200
MACON, GA 31217
Nurse Practitioner (Primary Care)
360 HOSPITAL DR, SUITE 110D
MACON, GA 31217
Nurse Practitioner (Family)
360 HOSPITAL DR, BUILDING D SUITE 110
MACON, GA 31217
Internal Medicine
360 HOSPITAL DR, BLDG D SUITE110
MACON, GA 31217
Internal Medicine
360 HOSPITAL DR, BLDG D SUITE 120
MACON, GA 31217
Internal Medicine
360 HOSPITAL DR, SUITE 110
MACON, GA 31217
Clinic/Center (Multi-Specialty)
360 HOSPITAL DR, BUILDING D, SUITE 130
MACON, GA 31217

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912947367, enumerated as an "organization" on June 07, 2006.

The provider is located at 360 HOSPITAL DR SUITE 110 MACON, GA 31217 and the phone number is (478) 841-2707.

Internal Medicine with taxonomy code 207R00000X.

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