THEODORE JOSEPH ANFINSON M.D. NPI 1992838718

Psychiatry & Neurology (Psychiatry) in Decatur, GA

NPI 1992838718 Individual Male Psychiatry & Neurology Psychiatry PECOS Enrolled

NPI Profile for THEODORE JOSEPH ANFINSON M.D.

Theodore Anfinson is a provider established in Decatur, Georgia and his medical specialization is psychiatry & neurology (psychiatry) . The NPI number of Theodore Anfinson is 1992838718 and was assigned on March 2007. The practitioner's primary taxonomy code is 2084P0800X with license number 36915 (GA). The provider is registered as an individual and his NPI record was last updated 11 years ago.

A psychiatrist like Theodore Joseph Anfinson M.d. are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

Theodore Anfinson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices..

Theodore Anfinson is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1992838718

Provider Name THEODORE JOSEPH ANFINSON M.D.
Provider Location Address450 WINN WAY DECATUR, GA 30030
Provider Mailing Address450 WINN WAY DECATUR, GA 30030
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date03-13-2007
Last Update Date11-01-2011


Primary Taxonomy

Taxonomy Code2084P0800X
ClassificationPsychiatry & Neurology
TypeAllopathic & Osteopathic Physicians
SpecializationPsychiatry
License No.36915
License StateGA
Taxonomy DescriptionA Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Business Address

THEODORE JOSEPH ANFINSON M.D.
450 WINN WAY
DECATUR, GA
ZIP 30030
Phone: (404) 294-0499
Fax: (404) 508-6421

Get Directions


Mailing Address

THEODORE JOSEPH ANFINSON M.D.
450 WINN WAY
DECATUR, GA
ZIP 30030
Phone: (404) 294-0499
Fax: (404) 508-6421



PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
12084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine36915GANo

Taxonomy Description: a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
F29125MEDICARE UPIN (02)

NPI Validation Check Digit Calculation


The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1992838718
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291821631672
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 8 + 2 + 1 + 6 + 3 + 1 + 6 + 7 + 2 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1992838718 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1912035023MRS. CHRISTINE LYNN IRWIN APRN
Individual
Registered Nurse (Psychiatric/Mental Health)450 WINN WAY
DECATUR, GA 30030
(404) 294-0499
1003945098MRS. LYNN S. VANLIEW APRN,BC
Individual
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)450 WINN WAY
DECATUR, GA 30030
(404) 294-0449
1306978663DR. ESTHER PHILLIPS HARBERT M.D.
Individual
Psychiatry & Neurology (Psychiatry)450 WINN WAY
DECATUR, GA 30030
(404) 294-0499
1043434632 BRENDA DENISE ARMANDO RN, BSN
Individual
Registered Nurse450 WINN WAY
DECATUR, GA 30030
(404) 294-0499
1568687226MS. PAULA GIBBONS RN
Individual
Registered Nurse450 WINN WAY
DECATUR, GA 30030
(404) 294-0499
1780809855MRS. LINDA DIANE HOGAN RN
Individual
Registered Nurse (Psychiatric/Mental Health)450 WINN WAY
DECATUR, GA 30030
(404) 294-0499
1003031097MS. BRENDA KAY CIBULAS APRN, BC, CGP
Individual
Clinical Nurse Specialist (Psychiatric/Mental Health)450 WINN WAY
DECATUR, GA 30030
(404) 294-0499
1295952901 SHERRY MARIE TOMPKINS LPN
Individual
Licensed Practical Nurse450 WINN WAY
DECATUR, GA 30030
(404) 294-0499
1992922835 MARY CLARICE STAMPER RN
Individual
Registered Nurse (Psychiatric/Mental Health, Adult)450 WINN WAY DEKALB CRISIS CENTER
DECATUR, GA 30030
(404) 294-0499
1508084161MS. JULLIE DIANNE ASSAVEDO RN
Individual
Religious Nonmedical Nursing Personnel450 WINN WAY
DECATUR, GA 30030
(404) 294-0499
1689892234MR. TOM H BUTLER III RN
Individual
Religious Nonmedical Nursing Personnel450 WINN WAY
DECATUR, GA 30030
(404) 294-0499
1881812147MS. VICKI TINDEL JACOBS RN
Individual
Registered Nurse (Psychiatric/Mental Health)450 WINN WAY
DECATUR, GA 30030
(404) 294-0499
1396963427MS. IRIS ELAINE HUDSON R.N.
Individual
Registered Nurse (Psychiatric/Mental Health)450 WINN WAY
DECATUR, GA 30030
(404) 294-0499
1184842023MRS. CAROLYN D LIVSEY R.N.
Individual
Registered Nurse (Psychiatric/Mental Health)450 WINN WAY
DECATUR, GA 30030
(404) 294-0499
1982824819MS. ANN C GARRETT R.N.
Individual
Registered Nurse (Psychiatric/Mental Health)450 WINN WAY
DECATUR, GA 30030
(404) 294-0499
1063624906MISS LESA BERTINA HOPKINS RN
Individual
Registered Nurse (Psychiatric/Mental Health)450 WINN WAY
DECATUR, GA 30030
(404) 294-0499
1659583961MRS. YVETTE ROXANNE ROBINSON RN
Individual
Registered Nurse450 WINN WAY
DECATUR, GA 30030
(404) 294-0499
1124230495MRS. GRACE OFORI RN
Individual
Registered Nurse450 WINN WAY
DECATUR, GA 30030
(404) 294-0499
1912111790MR. ROBERT JAMES SEVICK R.N.
Individual
Registered Nurse450 WINN WAY
DECATUR, GA 30030
(404) 294-0499
1346411899DR. SARA R GRIMSLEY PHARM.D.
Individual
Pharmacist (Psychiatric)450 WINN WAY
DECATUR, GA 30030
(404) 508-7774

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Theodore Joseph Anfinson M.d. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.