MONTGOMERY INTERNAL MEDICINE
NPI 1164547287
Clinic/Center - Rural Health in Mount Vernon, GA

NPI Status: Active since March 20, 2007

Contact Information

441 W BROAD STREET
MOUNT VERNON, GA
ZIP 30445
Phone: (912) 583-2229

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  • Organization
  • Clinic/Center
  • Rural Health

About MONTGOMERY INTERNAL MEDICINE

This page provides the complete NPI Profile along with additional information for Montgomery Internal Medicine, a primary care provider established in Mount Vernon, Georgia operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1164547287 assigned on March 2007. The practitioner's primary taxonomy code is 261QR1300X with license number 208152021 (GA). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Montgomery Internal Medicine. The authorized official of this NPI record is Lynan Fowler (Business Office)

NPI
1164547287
Provider Legal Name
LOWER OCONEE COMMUNITY HOSPITAL, INC
Other Organization Name
MONTGOMERY INTERNAL MEDICINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
441 W BROAD STREET MOUNT VERNON, GA 30445
Location Phone
(912) 583-2229
Mailing Address
441 W BROAD STREET PO BOX 546 MOUNT VERNON, GA 30445
Mailing Phone
(912) 583-2229
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-20-2007
Last Update Date
07-11-2013
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A primary care provider (PCP) like Montgomery Internal Medicine sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities
License No.
208152021
License State
GA

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.

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

LYNAN FOWLER

Authorized Official Title
BUSINESS OFFICE
Authorized Official Phone
(912) 523-5113

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
324829478BMEDICAID (05)GA 
113456MEDICARE OSCAR/CERTIFICATION (06)GA 

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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.
1164547287
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2112410414216
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 1 + 0 + 4 + 1 + 4 + 2 + 1 + 6 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1164547287 is valid because the calculated check digit 7 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 1164547287, enumerated in the NPI registry as an "organization" on March 20, 2007

The provider is located at 441 W Broad Street Mount Vernon, Ga 30445 and the phone number is (912) 583-2229

This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health

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.

This NPI record was last updated on March 20, 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.