SLIMFIT WEIGHT LOSS
NPI 1174347074
Nurse Practitioner - Family in Cedartown, GA

NPI Status: Active since November 08, 2024

Contact Information

113 N MAIN ST
CEDARTOWN, GA
ZIP 30125
Phone: (706) 671-5925
Fax: (706) 851-2162

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  • Organization
  • Nurse Practitioner
  • Family
  • CLIA Number: 11D2308529
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 07-29-2026

About SLIMFIT WEIGHT LOSS

This page provides the complete NPI Profile along with additional information for Slimfit Weight Loss, a provider established in Cedartown, Georgia operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1174347074 assigned on November 2024. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated one year ago. Slimfit Weight Loss 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 Tina Wood (Owner)

NPI
1174347074
Provider Name
SLIMFIT WEIGHT LOSS
Entity Type
Organization
Location Address
113 N MAIN ST CEDARTOWN, GA 30125
Location Phone
(706) 671-5925
Location Fax
(706) 851-2162
Mailing Address
7 N KENORA DR SW ROME, GA 30165
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-08-2024
Last Update Date
11-08-2024
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A nurse practitioner (NP) like Slimfit Weight Loss is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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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

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers

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

TINA WOOD

Authorized Official Title
OWNER
Authorized Official Phone
(256) 706-3027

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
11D2308529
Facility Type
Practitioner Other
Certificate Effective Date
July 30, 2024
Certificate Expiration Date
July 29, 2026
Laboratory Director
TINA F. WOOD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Slimfit Weight Loss 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.
1174347074
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211446414014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 6 + 4 + 1 + 4 + 0 + 1 + 4 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1174347074 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1518444256 TINA WOOD CRNP
Individual
Nurse Practitioner (Family)113 N MAIN ST
CEDARTOWN, GA 30125
(256) 706-3027

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174347074, enumerated in the NPI registry as an "organization" on November 08, 2024

The provider is located at 113 N Main St Cedartown, Ga 30125 and the phone number is (706) 671-5925

This medical organization specializes in Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

The provider's CLIA number is 11D2308529 for a "practitioner other" 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 November 08, 2024. 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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