PHOENIX CENTER
NPI 1275649410
Intermediate Care Facility, Intellectual Disabilities in Milledgeville, GA

NPI Status: Active since August 21, 2006

Contact Information

2125 VINSON HWY
MILLEDGEVILLE, GA
ZIP 31062
Phone: (478) 445-4128

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About PHOENIX CENTER

This page provides the complete NPI Profile along with additional information for Phoenix Center, a provider established in Milledgeville, Georgia operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1275649410 assigned on August 2006. The practitioner's primary taxonomy code is 315P00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Phoenix Center. The authorized official of this NPI record is Mr. Marvin Bailey (Regional Hospital Administrator)

NPI
1275649410
Provider Legal Name
GEORGIA DEPT OF HUMAN RESOURCES
Other Organization Name
PHOENIX CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2125 VINSON HWY MILLEDGEVILLE, GA 31062
Location Phone
(478) 445-4128
Mailing Address
2125 VINSON HWY MILLEDGEVILLE, GA 31062
Mailing Phone
(478) 445-4128
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-21-2006
Last Update Date
08-22-2020
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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

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

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.

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

MR. MARVIN BAILEY

Authorized Official Title
REGIONAL HOSPITAL ADMINISTRATOR
Authorized Official Phone
(478) 445-4128

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
00442824AMEDICAID (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.
1275649410
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221451241842
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 2 + 4 + 1 + 8 + 4 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1275649410 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 1275649410, enumerated in the NPI registry as an "organization" on August 21, 2006

The provider is located at 2125 Vinson Hwy Milledgeville, Ga 31062 and the phone number is (478) 445-4128

This medical organization specializes in Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X

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 August 21, 2006. 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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