AUGUSTA CENTRE FOR DERMATOLOGY & SKIN RENEWAL LLC
NPI 1255702940
Clinic/Center - Medical Specialty in Augusta, GA
NPI Status: Active since October 07, 2015
Contact Information
3614 J DEWEY GRAY CIR
STE B
AUGUSTA, GA
ZIP 30909
Phone: (706) 447-3909
- Organization
- Clinic/Center
- Medical Specialty
About AUGUSTA CENTRE FOR DERMATOLOGY & SKIN RENEWAL LLC
This page provides the complete NPI Profile along with additional information for Augusta Centre For Dermatology & Skin Renewal Llc, a provider established in Augusta, Georgia operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1255702940 assigned on October 2015. The practitioner's primary taxonomy code is 261QM2500X with license number 022436 (GA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mrs. Anne M Loebl Md (Owner)
- NPI
- 1255702940
- Provider Name
- AUGUSTA CENTRE FOR DERMATOLOGY & SKIN RENEWAL LLC
- Entity Type
- Organization
- Location Address
- 3614 J DEWEY GRAY CIR STE B AUGUSTA, GA 30909
- Location Phone
- (706) 447-3909
- Mailing Address
- 3614 J DEWEY GRAY CIR STE B AUGUSTA, GA 30909
- Mailing Phone
- (706) 447-3909
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-07-2015
- Last Update Date
- 10-07-2015
- 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
Clinic/Center Medical Specialty
- Taxonomy Code
- 261QM2500X
- Type
- Ambulatory Health Care Facilities
- License No.
- 022436
- License State
- GA
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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 |
|---|---|---|---|
| F03076 | MEDICARE UPIN (02) | ||
| 07BBSTV | MEDICARE PIN (08) |
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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 | 5 | 5 | 7 | 0 | 2 | 9 | 4 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 14 | 0 | 4 | 9 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 1 + 4 + 0 + 4 + 9 + 8 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1255702940 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1275503872 | DR. ANDREW E DICK M.D. Individual | Specialist | 3614 J DEWEY GRAY CIR SUITE B AUGUSTA, GA 30909 (706) 868-8854 |
| 1942244652 | DR. TITO C SOBRINHO M.D. Individual | Pediatrics (Adolescent Medicine) | 3614 J DEWEY GRAY CIR AUGUSTA, GA 30909 (706) 860-2949 |
| 1467563395 | DR. ANNE M. LOEBL M.D. Individual | Dermatology | 3614 J DEWEY GRAY CIR SUITE B AUGUSTA, GA 30909 (706) 447-3930 |
| 1093803686 | KENNETH W REEVES M.D. Individual | Internal Medicine (Cardiovascular Disease) | 3614 J DEWEY GRAY CIR STE A AUGUSTA, GA 30909 (706) 863-5635 |
| 1750775789 | SOUTHERN INTERNAL MEDICINE CRITICAL CARE ASSOCIATES, LLC Organization | Internal Medicine (Critical Care Medicine) | 3614 J DEWEY GRAY CIR BULDING B AUGUSTA, GA 30909 (706) 504-4651 |
| 1629588199 | SANTANA MARIA ROBINSON ARNP, FNP-C Individual | Nurse Practitioner (Family) | 3614 J DEWEY GRAY CIR AUGUSTA, GA 30909 (706) 868-7380 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255702940, enumerated in the NPI registry as an "organization" on October 07, 2015
The provider is located at 3614 J Dewey Gray Cir Ste B Augusta, Ga 30909 and the phone number is (706) 447-3909
This medical organization specializes in Clinic/Center with taxonomy code 261QM2500X with a focus in Medical Specialty
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.
This NPI record was last updated on October 07, 2015. 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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