PREVENTIVE MEDICINE & ANTI-AGING INSTITUTE LLC
NPI 1326307513
Point of Service in Sandy Springs, GA

NPI Status: Active since May 09, 2012

Contact Information

171 MOUNT PARAN RD.
SANDY SPRINGS, GA
ZIP 30342
Phone: (770) 451-4857
Fax: (678) 705-5767

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  • Organization
  • Point of Service

About PREVENTIVE MEDICINE & ANTI-AGING INSTITUTE LLC

This page provides the complete NPI Profile along with additional information for Preventive Medicine & Anti-aging Institute Llc, a provider established in Sandy Springs, Georgia operating as a Point Of Service. The healthcare provider is registered in the NPI registry with number 1326307513 assigned on May 2012. The practitioner's primary taxonomy code is 305S00000X with license number MD046372 (GA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Robert A Burkich Md (Owner)

NPI
1326307513
Provider Name
PREVENTIVE MEDICINE & ANTI-AGING INSTITUTE LLC
Entity Type
Organization
Location Address
171 MOUNT PARAN RD. SANDY SPRINGS, GA 30342
Location Phone
(770) 451-4857
Location Fax
(678) 705-5767
Mailing Address
171 MOUNT PARAN RD. SANDY SPRINGS, GA 30342
Mailing Phone
(770) 451-4857
Mailing Fax
(678) 705-5767
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-09-2012
Last Update Date
05-17-2012
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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

Point of Service

Taxonomy Code
305S00000X
Type
Managed Care Organizations
License No.
MD046372
License State
GA
Taxonomy Description
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

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

ROBERT A BURKICH MD

Authorized Official Title
OWNER
Authorized Official Phone
(770) 451-4857

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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.
1326307513
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2346601452
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 4 + 6 + 6 + 0 + 1 + 4 + 5 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1326307513 is valid because the calculated check digit 3 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 1326307513, enumerated in the NPI registry as an "organization" on May 09, 2012

The provider is located at 171 Mount Paran Rd. Sandy Springs, Ga 30342 and the phone number is (770) 451-4857

This medical organization specializes in Point of Service with taxonomy code 305S00000X

This NPI record was last updated on May 09, 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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