CARROLLTON ORTHOPAEDIC CLINIC
NPI 1043670243
Pharmacy in Villa Rica, GA
NPI Status: Active since March 01, 2016
Contact Information
705 DALLAS HWY STE 301
VILLA RICA, GA
ZIP 30180
Phone: (727) 755-0693
- Organization
- Pharmacy
- CLIA Number: 11D2004903
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-15-2026
About CARROLLTON ORTHOPAEDIC CLINIC
This page provides the complete NPI Profile along with additional information for Carrollton Orthopaedic Clinic, a provider established in Villa Rica, Georgia operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1043670243 assigned on March 2016. The practitioner's primary taxonomy code is 333600000X with license number 038946 (GA). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Carrollton Orthopaedic Clinic. The authorized official of this NPI record is James Gilbert (Cfo)
- NPI
- 1043670243
- Provider Legal Name
- CARROLLTON ORTHOPAEDIC CLINIC PC
- Other Organization Name
- CARROLLTON ORTHOPAEDIC CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 705 DALLAS HWY STE 301 VILLA RICA, GA 30180
- Location Phone
- (727) 755-0693
- Mailing Address
- 311 PARK PLACE BLVD SUITE 500 CLEARWATER, FL 33759
- Mailing Phone
- (727) 755-0693
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-01-2016
- Last Update Date
- 03-03-2016
- 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
Pharmacy
- Taxonomy Code
- 333600000X
- Type
- Suppliers
- License No.
- 038946
- License State
- GA
- Taxonomy Description
- A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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) |
|---|---|---|---|---|
| 1 | 3336C0002X | Suppliers | Pharmacy |
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.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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 |
|---|---|---|---|
| 000104427 | MEDICAID (05) | GA | |
| 2158464 | OTHER (01) | PK |
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
- 11D2004903
- Facility Type
- Physician Office
- Certificate Effective Date
- March 16, 2024
- Certificate Expiration Date
- March 15, 2026
- Laboratory Director
- DR. AUSTIN LEWIS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Carrollton Orthopaedic Clinic 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.
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NPI Validation Check Digit Calculation
The following table explains the step by step 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. | |||||||||
| 1 | 0 | 4 | 3 | 6 | 7 | 0 | 2 | 4 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 8 | 3 | 12 | 7 | 0 | 2 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 8 + 3 + 1 + 2 + 7 + 0 + 2 + 8 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1043670243 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1336394915 | MRS. MELANIE WOODALL SMITH M.S., CCC-A Individual | Audiologist-Hearing Aid Fitter | 705 DALLAS HWY STE 301 VILLA RICA, GA 30180 (770) 459-0408 |
| 1609196872 | ADAM M SUNDERLAND MD Individual | Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery) | 705 DALLAS HWY STE 301 VILLA RICA, GA 30180 (770) 456-0211 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043670243, enumerated in the NPI registry as an "organization" on March 01, 2016
The provider is located at 705 Dallas Hwy Ste 301 Villa Rica, Ga 30180 and the phone number is (727) 755-0693
This medical organization specializes in Pharmacy with taxonomy code 333600000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 11D2004903 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..
This NPI record was last updated on March 01, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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