SOUTHLAKE HEALTH CARE
NPI 1235776220
Clinic/Center in Morrow, GA
NPI Status: Active since December 09, 2019
Contact Information
1096 MOUNT ZION RD STE 1130
MORROW, GA
ZIP 30260
Phone: (678) 604-7739
Fax: (470) 615-7772
- Organization
- Clinic/Center
About SOUTHLAKE HEALTH CARE
This page provides the complete NPI Profile along with additional information for Southlake Health Care, a provider established in Morrow, Georgia operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1235776220 assigned on December 2019. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Justin James Broe Dc (Proprietor)
- NPI
- 1235776220
- Provider Name
- SOUTHLAKE HEALTH CARE
- Entity Type
- Organization
- Location Address
- 1096 MOUNT ZION RD STE 1130 MORROW, GA 30260
- Location Phone
- (678) 604-7739
- Location Fax
- (470) 615-7772
- Mailing Address
- 1096 MOUNT ZION RD STE 1130 MORROW, GA 30260
- Mailing Phone
- (678) 604-7739
- Mailing Fax
- (470) 615-7772
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-09-2019
- Last Update Date
- 12-09-2019
- 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
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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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 | 7 | 7 | 6 | 2 | 2 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 6 | 5 | 14 | 7 | 12 | 2 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 6 + 5 + 1 + 4 + 7 + 1 + 2 + 2 + 4 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1235776220 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 1235776220, enumerated in the NPI registry as an "organization" on December 09, 2019
The provider is located at 1096 Mount Zion Rd Ste 1130 Morrow, Ga 30260 and the phone number is (678) 604-7739
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
This NPI record was last updated on December 09, 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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