EAST ATLANTA PEDIATRICS
NPI 1396188876
Specialist in Lawrenceville, GA

NPI Status: Active since April 15, 2013

Contact Information

325 LESTER RD NW
SUITE C
LAWRENCEVILLE, GA
ZIP 30044
Phone: (770) 935-1515
Fax: (770) 935-1040

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  • Organization
  • Specialist

About EAST ATLANTA PEDIATRICS

This page provides the complete NPI Profile along with additional information for East Atlanta Pediatrics, a provider established in Lawrenceville, Georgia operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1396188876 assigned on April 2013. The practitioner's primary taxonomy code is 174400000X with license number 017940 (GA). The provider is registered as an organization and their NPI record was last updated 12 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 provider's is doing business as East Atlanta Pediatrics. The authorized official of this NPI record is Dr. Afroz Rahman Md (Provider)

NPI
1396188876
Provider Legal Name
EAST METRO PRIMARY CARE
Other Organization Name
EAST ATLANTA PEDIATRICS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
325 LESTER RD NW SUITE C LAWRENCEVILLE, GA 30044
Location Phone
(770) 935-1515
Location Fax
(770) 935-1040
Mailing Address
325 LESTER RD NW SUITE C LAWRENCEVILLE, GA 30044
Mailing Phone
(770) 935-1515
Mailing Fax
(770) 935-1040
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-15-2013
Last Update Date
04-15-2013
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
017940
License State
GA
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X MULTIPLE 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.

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. AFROZ RAHMAN MD

Authorized Official Title
PROVIDER
Authorized Official Phone
(770) 935-1515

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
D40920MEDICARE UPIN (02)GA 
317911MEDICAID (05)GA 
10039791MEDICAID (05)GA 
317912MEDICAID (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.
1396188876
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231862816814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 8 + 6 + 2 + 8 + 1 + 6 + 8 + 1 + 4 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1396188876 is valid because the calculated check digit 6 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 1396188876, enumerated in the NPI registry as an "organization" on April 15, 2013

The provider is located at 325 Lester Rd Nw Suite C Lawrenceville, Ga 30044 and the phone number is (770) 935-1515

This medical organization specializes in Specialist with taxonomy code 174400000X

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 15, 2013. 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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