GEORGIA UROLOGY PA
NPI 1235354424
Urology in Jasper, GA
NPI Status: Active since April 15, 2007
Contact Information
220 J L WHITE DR
SUITE 160
JASPER, GA
ZIP 30143
Phone: (706) 692-4384
Fax: (706) 692-2504
- Organization
- Urology
- CLIA Number: 11D0891563
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-11-2026
About GEORGIA UROLOGY PA
This page provides the complete NPI Profile along with additional information for Georgia Urology Pa, a provider established in Jasper, Georgia operating as a Urology. The healthcare provider is registered in the NPI registry with number 1235354424 assigned on April 2007. The practitioner's primary taxonomy code is 208800000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Mark A Haber M.d. (Managing Partner)
- NPI
- 1235354424
- Provider Name
- GEORGIA UROLOGY PA
- Entity Type
- Organization
- Location Address
- 220 J L WHITE DR SUITE 160 JASPER, GA 30143
- Location Phone
- (706) 692-4384
- Location Fax
- (706) 692-2504
- Mailing Address
- 1930 BRANNAN RD MCDONOUGH, GA 30253
- Mailing Phone
- (678) 284-4040
- Mailing Fax
- (706) 692-2504
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 04-15-2007
- Last Update Date
- 01-28-2015
- Code Navigator
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
Urology
- Taxonomy Code
- 208800000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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.
*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 |
|---|---|---|---|
| 0879130005 | MEDICARE NSC (07) | GA | |
| 11D0891563 | OTHER (01) | GA | CLIA |
| GRP1552 | MEDICARE PIN (08) | GA |
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
- 11D0891563
- Facility Type
- Physician Office
- Certificate Effective Date
- September 12, 2024
- Certificate Expiration Date
- September 11, 2026
- Laboratory Director
- JOEL A. ROSENFELD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Georgia Urology Pa 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 | 2 | 3 | 5 | 3 | 5 | 4 | 4 | 2 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 6 | 5 | 6 | 5 | 8 | 4 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 6 + 5 + 6 + 5 + 8 + 4 + 4 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1235354424 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 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1144201781 | JASON ANDREW BERNER M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 220 J L WHITE DR SUITE 110 JASPER, GA 30143 (706) 253-3842 |
| 1588759336 | CARDIAC DISEASE SPECIALISTS, PC Organization | Internal Medicine (Cardiovascular Disease) | 220 J L WHITE DR STE 100 JASPER, GA 30143 (706) 253-8001 |
| 1962572875 | MRS. SARA L WILLIAMS FNP C Individual | Nurse Practitioner (Family) | 220 J L WHITE DR SUITE 100 JASPER, GA 30143 (706) 253-8001 |
| 1972701936 | DR. MARK ANDREW SUPAN M.D. Individual | Obstetrics & Gynecology | 220 J L WHITE DR SUITE 120 JASPER, GA 30143 (706) 635-3539 |
| 1457517146 | WANDA DENISE CORREIA F.N.P. Individual | Nurse Practitioner (Family) | 220 J L WHITE DR SUITE 110 JASPER, GA 30143 (706) 253-3842 |
| 1336542943 | KELLIE PACK NP Individual | Nurse Practitioner (Family) | 220 J L WHITE DR SUITE 120 JASPER, GA 30143 (706) 692-3539 |
| 1649264177 | DR. VINCENT G MOLINARI MD Individual | Obstetrics & Gynecology | 220 J L WHITE DR SUITE 120 JASPER, GA 30143 (706) 692-3539 |
| 1346204062 | SANJAY SERRAO MD Individual | Internal Medicine | 220 J L WHITE DR STE 150 JASPER, GA 30143 (706) 299-2200 |
| 1548265838 | WALTER KENNETH AUSTIN JR. MD Individual | Internal Medicine | 220 J L WHITE DR SUITE 100 JASPER, GA 30143 (706) 636-6500 |
| 1225253842 | WOMENS SPECIALTY CENTER OF NORTH GEORGIA Organization | Obstetrics & Gynecology (Hospice and Palliative Medicine) | 220 J L WHITE DR SUITE 120 JASPER, GA 30143 (706) 692-3539 |
| 1417051590 | JOEL A ROSENFELD M.D. Individual | Urology | 220 J L WHITE DR SUITE 160 JASPER, GA 30143 (706) 692-4384 |
| 1518963388 | DR. ROBERTO F PEREIRA M.D. Individual | Internal Medicine (Cardiovascular Disease) | 220 J L WHITE DR SUITE 100 JASPER, GA 30143 (706) 253-8001 |
| 1639466287 | MRS. TANSY RIDINGS PA-C Individual | Physician Assistant | 220 J L WHITE DR SUITE 160 JASPER, GA 30143 (706) 692-4384 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235354424, enumerated in the NPI registry as an "organization" on April 15, 2007
The provider is located at 220 J L White Dr Suite 160 Jasper, Ga 30143 and the phone number is (706) 692-4384
This medical organization specializes in Urology with taxonomy code 208800000X
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.
The provider's CLIA number is 11D0891563 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 April 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].
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