MEDIC ONE LLC
NPI 1255690475
Family Medicine - Adult Medicine in Marietta, GA

NPI Status: Active since May 08, 2012

Contact Information

2621 SANDY PLAINS RD
SUITE 304
MARIETTA, GA
ZIP 30066
Phone: (770) 894-3167
Fax: (770) 575-0879

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  • Organization
  • Family Medicine
  • Adult Medicine

About MEDIC ONE LLC

This page provides the complete NPI Profile along with additional information for Medic One Llc, a primary care provider established in Marietta, Georgia operating as a Family Medicine, focusing in adult medicine . The healthcare provider is registered in the NPI registry with number 1255690475 assigned on May 2012. The practitioner's primary taxonomy code is 207QA0505X with license number 51736 (GA). The provider is registered as an organization and their NPI record was last updated 13 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 Adesupo Oshiyoye (Treasurer)

NPI
1255690475
Provider Name
MEDIC ONE LLC
Entity Type
Organization
Location Address
2621 SANDY PLAINS RD SUITE 304 MARIETTA, GA 30066
Location Phone
(770) 894-3167
Location Fax
(770) 575-0879
Mailing Address
PO BOX 670508 MARIETTA, GA 30066
Mailing Phone
(770) 894-3167
Mailing Fax
(770) 575-0879
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-08-2012
Last Update Date
05-08-2012
Code Navigator

A primary care provider (PCP) like Medic One 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

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 Adult Medicine

Taxonomy Code
207QA0505X
Type
Allopathic & Osteopathic Physicians
License No.
51736
License State
GA
Taxonomy Description
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

Group Taxonomy 193400000X MULTIPLE 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.

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

ADESUPO OSHIYOYE

Authorized Official Title
TREASURER
Authorized Official Phone
(770) 894-3167

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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.
1255690475
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221051290414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 2 + 9 + 0 + 4 + 1 + 4 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1255690475 is valid because the calculated check digit 5 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
1205946506 KERRI LYNNE GOLDING LCSW
Individual
Social Worker (Clinical)2621 SANDY PLAINS RD 303
MARIETTA, GA 30066
(770) 971-3890

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255690475, enumerated in the NPI registry as an "organization" on May 08, 2012

The provider is located at 2621 Sandy Plains Rd Suite 304 Marietta, Ga 30066 and the phone number is (770) 894-3167

This medical organization specializes in Family Medicine with taxonomy code 207QA0505X with a focus in Adult Medicine

This NPI record was last updated on May 08, 2012. 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.