COLQUITT REGIONAL INFECTIOUS DISEASE LLC
NPI 1336665371
Internal Medicine - Infectious Disease in Moultrie, GA
NPI Status: Active since August 22, 2017
- Organization
- Internal Medicine
- Infectious Disease
- CLIA Number: 11D0884710
- CLIA Cert. Type: Home Health Agency
- CLIA Exp. Date: 04-07-2026
About COLQUITT REGIONAL INFECTIOUS DISEASE LLC
This page provides the complete NPI Profile along with additional information for Colquitt Regional Infectious Disease Llc, an internist established in Moultrie, Georgia operating as a Internal Medicine, focusing in infectious disease . The healthcare provider is registered in the NPI registry with number 1336665371 assigned on August 2017. The practitioner's primary taxonomy code is 207RI0200X. The provider is registered as an organization and their NPI record was last updated 8 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 Douglas Strange (Cfo)
- NPI
- 1336665371
- Provider Name
- COLQUITT REGIONAL INFECTIOUS DISEASE LLC
- Entity Type
- Organization
- Location Address
- 6 HOSPITAL PARK MOULTRIE, GA 31768
- Location Phone
- (229) 891-9009
- Mailing Address
- PO BOX 2438 MOULTRIE, GA 31776
- Mailing Phone
- (229) 891-9009
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-22-2017
- Last Update Date
- 08-22-2017
- Code Navigator
An internist like Colquitt Regional Infectious Disease Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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
Internal Medicine Infectious Disease
- Taxonomy Code
- 207RI0200X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Group Taxonomy 193400000X 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.
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
- 11D0884710
- Facility Type
- Home Health Agency
- Certificate Effective Date
- April 08, 2024
- Certificate Expiration Date
- April 07, 2026
- Laboratory Director
- NANCY P. SAPP RNC
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Colquitt Regional Infectious Disease Llc 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. | |||||||||
| 1 | 3 | 3 | 6 | 6 | 6 | 5 | 3 | 7 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 12 | 6 | 10 | 3 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 1 + 2 + 6 + 1 + 0 + 3 + 1 + 4 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1336665371 is valid because the calculated check digit 1 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 |
|---|---|---|---|
| 1366521205 | DR. CHARLES GARY LODGE M.D. Individual | Family Medicine | 6 HOSPITAL PARK MOULTRIE, GA 31768 (229) 985-3320 |
| 1639359342 | JEONG SOK SEO MD Individual | Internal Medicine | 6 HOSPITAL PARK MOULTRIE, GA 31768 (229) 891-9009 |
| 1174740385 | DR. HOLLY M VAN DE VOORT MD Individual | Pediatrics | 6 HOSPITAL PARK MOULTRIE, GA 31768 (229) 985-3320 |
| 1407459027 | COLQUITT REGIONAL PSYCHIATRY LLC Organization | Psychiatry & Neurology (Psychiatry) | 6 HOSPITAL PARK MOULTRIE, GA 31768 (229) 891-9443 |
| 1629485032 | COLQUITT REGIONAL INTERNAL MEDICINE Organization | Internal Medicine | 6 HOSPITAL PARK MOULTRIE, GA 31768 (229) 891-9009 |
| 1821652843 | ETHAN MCBRAYER DO Individual | Family Medicine | 6 HOSPITAL PARK MOULTRIE, GA 31768 (229) 985-3320 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336665371, enumerated in the NPI registry as an "organization" on August 22, 2017
The provider is located at 6 Hospital Park Moultrie, Ga 31768 and the phone number is (229) 891-9009
This medical organization specializes in Internal Medicine with taxonomy code 207RI0200X with a focus in Infectious Disease
The provider's CLIA number is 11D0884710 for a "home health agency" 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 August 22, 2017. 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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