PIEDMONT ATHENS PRIMARY CARE LLC
NPI 1245746783
Family Medicine in Athens, GA
NPI Status: Active since December 20, 2017
Contact Information
1199 PRINCE AVE
ATHENS, GA
ZIP 30606
Phone: (706) 369-5440
Fax: (706) 369-5490
- Organization
- Family Medicine
- Accepts Insurance
About PIEDMONT ATHENS PRIMARY CARE LLC
This page provides the complete NPI Profile along with additional information for Piedmont Athens Primary Care Llc, a primary care provider established in Athens, Georgia operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1245746783 assigned on December 2017. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Piedmont Athens Primary Care 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 Mrs. Christy Aquino (Director Of Provider Enrollment)
- NPI
- 1245746783
- Provider Name
- PIEDMONT ATHENS PRIMARY CARE LLC
- Entity Type
- Organization
- Location Address
- 1199 PRINCE AVE ATHENS, GA 30606
- Location Phone
- (706) 369-5440
- Location Fax
- (706) 369-5490
- Mailing Address
- PO BOX 117264 ATLANTA, GA 30368
- Mailing Phone
- (770) 801-2500
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-20-2017
- Last Update Date
- 08-11-2021
- Code Navigator
A primary care provider (PCP) like Piedmont Athens Primary Care Llc 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
Secondary Locations
- 2727 Paces Ferry Road Building 1 Suite 1-1100
Atlanta, GA 30339
(770) 801-2500 - 1500 Oglethorpe Ave Ste 600B
Athens, GA 30606
(706) 559-4188
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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- SoloCare Bronze EPO HDHP 8050 10004 - EPO
- SoloCare Exp Bronze EPO 7200 - $0 Generic Rx 10015 - EPO
- SoloCare Gold EPO 2300 - 3 Free PCP Visits, $5 Generic Rx 10010 - EPO
- SoloCare Silver EPO 6000/60 - 3 Free PCP Visits 10014 - EPO
- SoloCare Silver EPO 7000 - 3 Free PCP Visits, $5 Generic Rx 10013 - EPO
- SoloCare Standard Exp Bronze EPO 10008 - EPO
- SoloCare Standard Gold EPO 10006 - EPO
- SoloCare Standard Platinum EPO 10005 - EPO
- SoloCare Standard Silver EPO 10007 - EPO
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Complete Silver with Atrium Health - HMO
- Complete Silver with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
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 |
|---|---|---|---|
| 003208591A | MEDICAID (05) | 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. | |||||||||
| 1 | 2 | 4 | 5 | 7 | 4 | 6 | 7 | 8 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 14 | 4 | 12 | 7 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 1 + 4 + 4 + 1 + 2 + 7 + 1 + 6 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1245746783 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1912902271 | JOEL P COOK MD Individual | Radiology (Diagnostic Radiology) | 1199 PRINCE AVE ATHENS, GA 30606 (706) 475-5897 |
| 1235130683 | KATHY C MARGRAVE CRNA Individual | Nurse Anesthetist, Certified Registered | 1199 PRINCE AVE ATHENS, GA 30606 (706) 475-7000 |
| 1669454724 | DR. RONALD B. ATCHLEY MD Individual | Emergency Medicine | 1199 PRINCE AVE ATHENS, GA 30606 (800) 532-6151 |
| 1619959467 | DR. PATRICIA H. BURGESS MD Individual | Emergency Medicine | 1199 PRINCE AVE ATHENS, GA 30606 (800) 532-6151 |
| 1033191804 | DR. JOHN R. BUTLER MD Individual | Emergency Medicine | 1199 PRINCE AVE ATHENS, GA 30606 (800) 532-6151 |
| 1750363438 | DR. CLAYTON W. DUNFORD MD Individual | Emergency Medicine | 1199 PRINCE AVE ATHENS, GA 30606 (800) 532-6151 |
| 1265414940 | DR. CAROLANN EISENHART MD Individual | Emergency Medicine | 1199 PRINCE AVE ATHENS, GA 30606 (800) 532-6151 |
| 1740262435 | DR. KURT R. HORST MD Individual | Emergency Medicine | 1199 PRINCE AVE ATHENS, GA 30606 (800) 532-6151 |
| 1629050422 | DR. ANDREW K. BARNETT MD Individual | Emergency Medicine | 1199 PRINCE AVE ATHENS, GA 30606 (800) 532-6151 |
| 1053393637 | DR. KEVIN D. TOON MD Individual | Emergency Medicine | 1199 PRINCE AVE ATHENS, GA 30606 (800) 532-6151 |
| 1518949916 | DR. TODD D. BELL MD Individual | Emergency Medicine | 1199 PRINCE AVE ATHENS, GA 30606 (800) 532-6151 |
| 1366425613 | DR. CHRISTOPHER R. BOSTDORFF MD Individual | Emergency Medicine | 1199 PRINCE AVE ATHENS, GA 30606 (800) 532-6151 |
| 1366425720 | DR. ERIC M. KARDON MD Individual | Emergency Medicine | 1199 PRINCE AVE ATHENS, GA 30606 (800) 532-6151 |
| 1154304384 | DR. JEFFREY A. MOORE MD Individual | Emergency Medicine | 1199 PRINCE AVE ATHENS, GA 30606 (800) 532-6151 |
| 1386627529 | DR. ERIC F. SEWELL MD Individual | Emergency Medicine | 1199 PRINCE AVE ATHENS, GA 30606 (800) 532-6151 |
| 1033181995 | DR. SVEN ARLEN SWANSON M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1199 PRINCE AVE ATHENS, GA 30606 (706) 475-3398 |
| 1942272620 | ATHENS REGIONAL PATHOLOGY ASSOCIATES, LLP Organization | Pathology (Anatomic Pathology & Clinical Pathology) | 1199 PRINCE AVE ATHENS, GA 30606 (706) 475-3398 |
| 1265404768 | DR. STEPHEN LEGRANDE ALESHIRE M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1199 PRINCE AVE ATHENS, GA 30606 (706) 475-3398 |
| 1134191638 | DR. DANIEL W. TENCH M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1199 PRINCE AVE ATHENS, GA 30606 (706) 475-3398 |
| 1164488623 | PRIMEDOC OF ATHENS INC Organization | Internal Medicine | 1199 PRINCE AVE ATHENS, GA 30606 (843) 237-3378 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245746783, enumerated in the NPI registry as an "organization" on December 20, 2017
The provider is located at 1199 Prince Ave Athens, Ga 30606 and the phone number is (706) 369-5440
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. 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 December 20, 2017. 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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