BACK TO LIFE PAIN CENTER
NPI 1982172060
Physical Medicine & Rehabilitation - Pain Medicine in Woodstock, GA

NPI Status: Active since November 07, 2018

Contact Information

410 CREEKSTONE RDG
WOODSTOCK, GA
ZIP 30188
Phone: (678) 909-0911
Fax: (678) 909-0912

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  • Organization
  • Physical Medicine & Rehabilitation
  • Pain Medicine
  • Accepts Insurance

About BACK TO LIFE PAIN CENTER

This page provides the complete NPI Profile along with additional information for Back To Life Pain Center, a provider established in Woodstock, Georgia operating as a Physical Medicine & Rehabilitation, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1982172060 assigned on November 2018. The practitioner's primary taxonomy code is 2081P2900X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Back To Life Pain Center 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 Back To Life Pain Center. The authorized official of this NPI record is Dr. Konstantin Sergeyevich Tsymbalov Do (Owner)

NPI
1982172060
Provider Legal Name
BACK TO LIFE PAIN CENTER, LLC
Other Organization Name
BACK TO LIFE PAIN CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
410 CREEKSTONE RDG WOODSTOCK, GA 30188
Location Phone
(678) 909-0911
Location Fax
(678) 909-0912
Mailing Address
410 CREEKSTONE RDG WOODSTOCK, GA 30188
Mailing Phone
(678) 909-0911
Mailing Fax
(678) 909-0912
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-07-2018
Last Update Date
08-14-2020
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Location Map

Secondary Locations

  • 3459 Acworth Due West Rd NW Suite 117
    Acworth, GA 30101
    (678) 521-1105

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

Physical Medicine & Rehabilitation Pain Medicine

Taxonomy Code
2081P2900X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

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:

  • 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

*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. KONSTANTIN SERGEYEVICH TSYMBALOV DO

Authorized Official Title
OWNER
Authorized Official Phone
(678) 909-0911

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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 1982172060, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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
8
Doubled → 16 → 1 + 6
Pos 4
2
Unchanged
Pos 5
1
Doubled → 2
Pos 6
7
Unchanged
Pos 7
2
Doubled → 4
Pos 8
0
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
0
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 8 → 16 → 7 1 → 2 2 → 4 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 + 1 + 6 + 2 + 2 + 7 + 4 + 0 + 1 + 2 + 24 = 60

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

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

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1982172060.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982172060, enumerated as an "organization" on November 07, 2018.

The provider is located at 410 CREEKSTONE RDG WOODSTOCK, GA 30188 and the phone number is (678) 909-0911.

Physical Medicine & Rehabilitation with taxonomy code 2081P2900X and a focus in Pain Medicine.

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