NORTHWEST GEORGIA MEDICAL CLINIC, P.C.
NPI 1053462325
Obstetrics & Gynecology in Rome, GA
NPI Status: Active since January 15, 2007
Contact Information
15 RIVERBEND DR SW
STE 200
ROME, GA
ZIP 30161
Phone: (706) 378-5651
Fax: (706) 378-8267
- Organization
- Obstetrics & Gynecology
- CLIA Number: 11D1043395
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-21-2025
About NORTHWEST GEORGIA MEDICAL CLINIC, P.C.
This page provides the complete NPI Profile along with additional information for Northwest Georgia Medical Clinic, P.c., a women's health care provider established in Rome, Georgia operating as a Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1053462325 assigned on January 2007. The practitioner's primary taxonomy code is 207V00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Northwest Georgia Medical Clinic, P.c. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mrs. Angie Smith (Financial Coord)
- NPI
- 1053462325
- Provider Name
- NORTHWEST GEORGIA MEDICAL CLINIC, P.C.
- Entity Type
- Organization
- Location Address
- 15 RIVERBEND DR SW STE 200 ROME, GA 30161
- Location Phone
- (706) 378-5651
- Location Fax
- (706) 378-8267
- Mailing Address
- 15 RIVERBEND DR SW STE 200 ROME, GA 30161
- Mailing Phone
- (706) 378-5651
- Mailing Fax
- (706) 378-8267
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-15-2007
- Last Update Date
- 04-08-2024
- Code Navigator
Women's health care providers like Northwest Georgia Medical Clinic, P.c. treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, 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
Obstetrics & Gynecology
- Taxonomy Code
- 207V00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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 | 174400000X | Other Service Providers | Specialist |
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.
*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 |
|---|---|---|---|
| CL0326 | OTHER (01) | GA | RAILROAD MEDICARE |
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
- 11D1043395
- Facility Type
- Physician Office
- Certificate Effective Date
- July 22, 2023
- Certificate Expiration Date
- July 21, 2025
- Laboratory Director
- JAMES T. DOUGLAS
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Northwest Georgia Medical Clinic, P.c. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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 | 5 | 3 | 4 | 6 | 2 | 3 | 2 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 10 | 3 | 8 | 6 | 4 | 3 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 0 + 3 + 8 + 6 + 4 + 3 + 4 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1053462325 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1235110263 | LORI PONDER CRNP Individual | Nurse Practitioner (Family) | 15 RIVERBEND DR SW STE 100 ROME, GA 30161 (706) 291-0884 |
| 1447237169 | DIXON L FREEMAN MD Individual | Obstetrics & Gynecology | 15 RIVERBEND DR SW STE 200 ROME, GA 30161 (706) 291-0884 |
| 1609853324 | MARY CATHERINE BURCH FNP Individual | Nurse Practitioner (Family) | 15 RIVERBEND DR SW STE 100 ROME, GA 30161 (706) 291-0884 |
| 1134468101 | EMMA CORDLE NP Individual | Nurse Practitioner | 15 RIVERBEND DR SW STE 100 ROME, GA 30161 (706) 291-0884 |
| 1548685811 | MRS. ASHLEY ANN HOLLOWAY NP-C Individual | Nurse Practitioner (Family) | 15 RIVERBEND DR SW STE 100 ROME, GA 30161 (706) 378-5651 |
| 1427428085 | CHILDREN'S DENTAL CENTER, PC Organization | Dentist (Pediatric Dentistry) | 15 RIVERBEND DR SW STE 130 ROME, GA 30161 (706) 232-1283 |
| 1023095882 | WILLIAM KEITH MONTGOMERY MD Individual | Obstetrics & Gynecology | 15 RIVERBEND DR SW STE 200 ROME, GA 30161 (706) 291-0884 |
| 1083893150 | DR. KRISTEN HIGGINS LEEZER M.D. Individual | Obstetrics & Gynecology | 15 RIVERBEND DR SW STE 200 ROME, GA 30161 (706) 291-0884 |
| 1447237268 | CHRISTOPHER J PICKENS MD Individual | Obstetrics & Gynecology | 15 RIVERBEND DR SW STE 200 ROME, GA 30161 (706) 291-0884 |
| 1861424004 | LISA BLAKE MD Individual | Obstetrics & Gynecology | 15 RIVERBEND DR SW STE 200 ROME, GA 30161 (706) 291-0884 |
| 1962489732 | JAMES T DOUGLAS MD Individual | Family Medicine | 15 RIVERBEND DR SW STE 100 & 200 ROME, GA 30161 (706) 291-0884 |
| 1336127802 | DR. ASA A. PEEK D.O. Individual | Obstetrics & Gynecology | 15 RIVERBEND DR SW STE 200 ROME, GA 30161 (706) 291-0884 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053462325, enumerated in the NPI registry as an "organization" on January 15, 2007
The provider is located at 15 Riverbend Dr Sw Ste 200 Rome, Ga 30161 and the phone number is (706) 378-5651
This medical organization specializes in Obstetrics & Gynecology with taxonomy code 207V00000X
The provider might be accepting Accepts: Railroad Medicare, 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 11D1043395 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on January 15, 2007. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.