MRS. CYNTHIA A DUNCAN MS, APRN, BC
NPI 1972671634
Clinical Nurse Specialist - Psychiatric/Mental Health in Tyrone, GA

NPI Status: Active since December 01, 2006

Contact Information

120 HANDLEY RD
TYRONE, GA
ZIP 30290
Phone: (770) 486-1011
Fax: (770) 486-1067

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  • Individual
  • Female
  • Clinical Nurse Specialist
  • Psychiatric/Mental Health
  • Opted-Out Medicare

About CYNTHIA DUNCAN

This page provides the complete NPI Profile along with additional information for Cynthia Duncan, a provider established in Tyrone, Georgia with a medical specialization in Clinical Nurse Specialist, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1972671634 assigned on December 2006. The practitioner's primary taxonomy code is 364SP0808X with license number GAAPRN138799 (GA). The provider is registered as an individual and her NPI record was last updated 17 years ago.

NPI
1972671634
Provider Name
MRS. CYNTHIA A DUNCAN MS, APRN, BC
Gender
Female
Entity Type
Individual
Location Address
120 HANDLEY RD TYRONE, GA 30290
Location Phone
(770) 486-1011
Location Fax
(770) 486-1067
Mailing Address
120 HANDLEY RD TYRONE, GA 30290
Mailing Phone
(770) 639-3624
Mailing Fax
(770) 486-1067
Is Sole Proprietor?
No
Enumeration Date
12-01-2006
Last Update Date
08-14-2009
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A Clinical Nurse Specialist (CNS) like Cynthia Duncan is a type of advanced practice registered nurse (APRN) that provides direct patient care in various nursing specialties, including pediatrics or psychiatric-mental health. CNSs collaborate with other nurses and medical professionals to improve patient care quality. CNSs are often positioned in leadership roles where they may provide education and mentorship to other nursing personnel. Additionally, CNSs may also conduct research and advocate for certain healthcare policies.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Cynthia Duncan opted out of Medicare effective on 01-03-2024 until 01-03-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

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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

Clinical Nurse Specialist Psychiatric/Mental Health

Taxonomy Code
364SP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
GAAPRN138799
License State
GA

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 01-03-2024

  • Opt-Out End Date: 01-03-2026

  • Eligible to Order and Refer? No

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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 1972671634, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 4 + 2 + 1 + 2 + 7 + 2 + 6 + 6 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1972671634.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Specialist
120 HANDLEY RD, SUITE 310
TYRONE, GA 30290
Counselor (Professional)
120 HANDLEY RD, SUITE 310
TYRONE, GA 30290
Psychiatry & Neurology (Psychiatry)
120 HANDLEY RD, SUITE 310
TYRONE, GA 30290
Family Medicine
120 HANDLEY RD, SUITE 410
TYRONE, GA 30290
Chiropractor
120 HANDLEY RD, SUITE 220
TYRONE, GA 30290
Counselor (Professional)
120 HANDLEY RD
TYRONE, GA 30290
Chiropractor
120 HANDLEY RD, SUITE 220
TYRONE, GA 30290
Counselor (Mental Health)
120 HANDLEY RD
TYRONE, GA 30290
Dentist (Pediatric Dentistry)
120 HANDLEY RD, SUITE 210
TYRONE, GA 30290
Dentist (Pediatric Dentistry)
120 HANDLEY RD, SUITE 210
TYRONE, GA 30290
Clinic/Center (Urgent Care)
120 HANDLEY RD, #400
TYRONE, GA 30290
Chiropractor
120 HANDLEY RD, STE 220
TYRONE, GA 30290
Behavior Technician
120 HANDLEY RD
TYRONE, GA 30290

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972671634, enumerated as an "individual" on December 01, 2006.

The provider is located at 120 HANDLEY RD TYRONE, GA 30290 and the phone number is (770) 486-1011.

Clinical Nurse Specialist with taxonomy code 364SP0808X and a focus in Psychiatric/Mental Health.