PEACHTREE SURGICAL ASSOCIATES
NPI 1275883464
Registered Nurse - Registered Nurse First Assistant in Norcross, GA

NPI Status: Active since September 14, 2012

Contact Information

7742 SPALDING DR STE 115
NORCROSS, GA
ZIP 30092
Phone: (678) 580-2587

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  • Organization
  • Registered Nurse
  • Registered Nurse First Assistant
  • CLIA Number: 11D2289461
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 09-11-2025

About PEACHTREE SURGICAL ASSOCIATES

This page provides the complete NPI Profile along with additional information for Peachtree Surgical Associates, a provider established in Norcross, Georgia operating as a Registered Nurse, focusing in registered nurse first assistant . The healthcare provider is registered in the NPI registry with number 1275883464 assigned on September 2012. The practitioner's primary taxonomy code is 163WR0006X with license number RN147191 (GA). The provider is registered as an organization and their NPI record was last updated 13 years ago. Peachtree Surgical Associates 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 Clarence A Pinkston (Registered Nurse First Assistant)

NPI
1275883464
Provider Name
PEACHTREE SURGICAL ASSOCIATES
Entity Type
Organization
Location Address
7742 SPALDING DR STE 115 NORCROSS, GA 30092
Location Phone
(678) 580-2587
Mailing Address
7742 SPALDING DR STE 115 NORCROSS, GA 30092
Mailing Phone
(678) 580-2587
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-14-2012
Last Update Date
09-14-2012
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A registered nurse (RN) like Peachtree Surgical Associates coordinates and provides patient care and educates patients about various health conditions. Registered nurses give advice and emotional support to patients and their families. The typical duties of a registered nurse include: assessing patient conditions, record medical histories and symptoms, observe patients and record the observations, administer medicines and treatments, consult and collaborate with doctors, operate and monitor medical equipment, teach patients and families how to manage injuries or illnesses, etc.

Registered nurses typically work as part of a team with physicians and other healthcare professionals. In some medical teams registered nurses supervise nursing assistants, licensed practical nurses, and home health aides.

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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

Registered Nurse Registered Nurse First Assistant

Taxonomy Code
163WR0006X
Type
Nursing Service Providers
License No.
RN147191
License State
GA
Taxonomy Description
A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon.

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.

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

CLARENCE A PINKSTON

Authorized Official Title
REGISTERED NURSE FIRST ASSISTANT
Authorized Official Phone
(678) 580-2587

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D2289461
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
September 12, 2023
Certificate Expiration Date
September 11, 2025
Laboratory Director
NIRAV PARIKH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Peachtree Surgical Associates to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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.
1275883464
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221451686412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 6 + 8 + 6 + 4 + 1 + 2 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1275883464 is valid because the calculated check digit 4 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 1275883464, enumerated in the NPI registry as an "organization" on September 14, 2012

The provider is located at 7742 Spalding Dr Ste 115 Norcross, Ga 30092 and the phone number is (678) 580-2587

This medical organization specializes in Registered Nurse with taxonomy code 163WR0006X with a focus in Registered Nurse First Assistant

The provider's CLIA number is 11D2289461 for a "end stage renal disease dialysis facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on September 14, 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].
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