PROFESSIONAL NURSING ASSOCIATES OF GEORGIA LLC
NPI 1124585005
In Home Supportive Care in Fayetteville, GA
NPI Status: Active since February 26, 2019
Contact Information
110 HABERSHAM DR STE 152
FAYETTEVILLE, GA
ZIP 30214
Phone: (678) 582-9215
- Organization
- In Home Supportive Care
About PROFESSIONAL NURSING ASSOCIATES OF GEORGIA LLC
This page provides the complete NPI Profile along with additional information for Professional Nursing Associates Of Georgia Llc, a provider established in Fayetteville, Georgia operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1124585005 assigned on February 2019. The practitioner's primary taxonomy code is 253Z00000X. The provider is registered as an organization and their NPI record was last updated April 2025. The authorized official of this NPI record is Tammy S Rowe Rn (Owner)
- NPI
- 1124585005
- Provider Name
- PROFESSIONAL NURSING ASSOCIATES OF GEORGIA LLC
- Entity Type
- Organization
- Location Address
- 110 HABERSHAM DR STE 152 FAYETTEVILLE, GA 30214
- Location Phone
- (678) 582-9215
- Mailing Address
- 110 HABERSHAM DR STE 152 FAYETTEVILLE, GA 30214
- Mailing Phone
- (678) 582-9215
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-26-2019
- Last Update Date
- 04-17-2025
- Code Navigator
Location Map
Secondary Locations
- 1718 Phillips Rd
Lithonia, GA 30058
(678) 582-9215
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
In Home Supportive Care
- Taxonomy Code
- 253Z00000X
- Type
- Agencies
- Taxonomy Description
- An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
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 | 251E00000X | Agencies | Home Health | |
| 2 | 251F00000X | Agencies | Home Infusion | |
| 3 | 251J00000X | Agencies | Nursing Care |
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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 | 1 | 2 | 4 | 5 | 8 | 5 | 0 | 0 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 4 | 4 | 10 | 8 | 10 | 0 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 4 + 4 + 1 + 0 + 8 + 1 + 0 + 0 + 0 + 24 = 45 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 45 = 5 | 5 | ||||||||
The NPI number 1124585005 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124585005, enumerated in the NPI registry as an "organization" on February 26, 2019
The provider is located at 110 Habersham Dr Ste 152 Fayetteville, Ga 30214 and the phone number is (678) 582-9215
This medical organization specializes in In Home Supportive Care with taxonomy code 253Z00000X
This NPI record was last updated on February 26, 2019. 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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