COMMUNITY HEATH AND IMMUNIZATION SERVICES, LLC
NPI 1124765540
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Decatur, GA

NPI Status: Active since May 17, 2022

Contact Information

315 W PONCE DE LEON AVE STE 585
DECATUR, GA
ZIP 30030
Phone: (844) 358-3733

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  • Organization
  • Preventive Medicine
  • Preventive Medicine/Occupational Environ...

About COMMUNITY HEATH AND IMMUNIZATION SERVICES, LLC

This page provides the complete NPI Profile along with additional information for Community Heath And Immunization Services, Llc, a provider established in Decatur, Georgia operating as a Preventive Medicine, focusing in preventive medicine/occupational environmental medicine . The healthcare provider is registered in the NPI registry with number 1124765540 assigned on May 2022. The practitioner's primary taxonomy code is 2083P0500X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Community Heath And Immunization Services, Llc 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 Rebekah Suazo (Medical Billing Supervisor)

NPI
1124765540
Provider Name
COMMUNITY HEATH AND IMMUNIZATION SERVICES, LLC
Entity Type
Organization
Location Address
315 W PONCE DE LEON AVE STE 585 DECATUR, GA 30030
Location Phone
(844) 358-3733
Mailing Address
668 N 44TH ST STE 100W PHOENIX, AZ 85008
Mailing Phone
(844) 358-3733
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-17-2022
Last Update Date
05-17-2022
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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

Preventive Medicine Preventive Medicine/Occupational Environmental Medicine

Taxonomy Code
2083P0500X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

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.

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

REBEKAH SUAZO

Authorized Official Title
MEDICAL BILLING SUPERVISOR
Authorized Official Phone
(480) 646-9099

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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.
1124765540
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21441461058
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 1 + 4 + 6 + 1 + 0 + 5 + 8 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1124765540 is valid because the calculated check digit 0 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 1124765540, enumerated in the NPI registry as an "organization" on May 17, 2022

The provider is located at 315 W Ponce De Leon Ave Ste 585 Decatur, Ga 30030 and the phone number is (844) 358-3733

This medical organization specializes in Preventive Medicine with taxonomy code 2083P0500X with a focus in Preventive Medicine/Occupational Environmental Medicine

This NPI record was last updated on May 17, 2022. 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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