POSITIVE BALANCE WELLNESS CENTER @ BEN HILL UNITED METHODIST CHURCH
NPI 1356738447
Clinic/Center - Health Service in Atlanta, GA

NPI Status: Active since April 16, 2015

Contact Information

2099 FAIRBURN RD SW
ATLANTA, GA
ZIP 30331
Phone: (404) 428-3133
Fax: (404) 344-7810

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  • Organization
  • Clinic/Center
  • Health Service

About POSITIVE BALANCE WELLNESS CENTER @ BEN HILL UNITED METHODIST CHURCH

This page provides the complete NPI Profile along with additional information for Positive Balance Wellness Center @ Ben Hill United Methodist Church, a provider established in Atlanta, Georgia operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1356738447 assigned on April 2015. The practitioner's primary taxonomy code is 261QH0100X with license number 036661 (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 Dr. Angela Patrice Shannon Md (Director)

NPI
1356738447
Provider Name
POSITIVE BALANCE WELLNESS CENTER @ BEN HILL UNITED METHODIST CHURCH
Entity Type
Organization
Location Address
2099 FAIRBURN RD SW ATLANTA, GA 30331
Location Phone
(404) 428-3133
Location Fax
(404) 344-7810
Mailing Address
2099 FAIRBURN RD SW ATLANTA, GA 30331
Mailing Phone
(404) 428-3133
Mailing Fax
(404) 344-7810
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-16-2015
Last Update Date
04-16-2015
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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

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities
License No.
036661
License State
GA

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

DR. ANGELA PATRICE SHANNON MD

Authorized Official Title
DIRECTOR
Authorized Official Phone
(404) 346-8264

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
2084P08000XOTHER (01)GATAXONOMY
00635115DMEDICAID (05)GA 
000635115EMEDICAID (05)GA 
G24538MEDICARE UPIN (02)GA 
26BDFPCMEDICARE PIN (08)GA 
1285707455OTHER (01)GANPI

Reviews for POSITIVE BALANCE WELLNESS CENTER @ BEN HILL UNITED METHODIST CHURCH

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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.
1356738447
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231061431648
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 0 + 6 + 1 + 4 + 3 + 1 + 6 + 4 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1356738447 is valid because the calculated check digit 7 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 1356738447, enumerated in the NPI registry as an "organization" on April 16, 2015

The provider is located at 2099 Fairburn Rd Sw Atlanta, Ga 30331 and the phone number is (404) 428-3133

This medical organization specializes in Clinic/Center with taxonomy code 261QH0100X with a focus in Health Service

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 April 16, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.