WELLSTAR PHYSICIANS GROUP PATHOLOGISTS, LLC
NPI 1396792446
Pathology - Anatomic Pathology & Clinical Pathology in Austell, GA
NPI Status: Active since May 27, 2006
Contact Information
3950 AUSTELL RD
AUSTELL, GA
ZIP 30106
Phone: (770) 732-3550
Fax: (770) 732-3589
- Organization
- Pathology
- Anatomic Pathology & Clinical Pathology
- Accepts Insurance
- CLIA Number: 11D0020351
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 11-30-2025
About WELLSTAR PHYSICIANS GROUP PATHOLOGISTS, LLC
This page provides the complete NPI Profile along with additional information for Wellstar Physicians Group Pathologists, Llc, a provider established in Austell, Georgia operating as a Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1396792446 assigned on May 2006. The practitioner's primary taxonomy code is 207ZP0102X. The provider is registered as an organization and their NPI record was last updated 17 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 Nicole Ashe (Executive Director Of Finance)
- NPI
- 1396792446
- Provider Name
- WELLSTAR PHYSICIANS GROUP PATHOLOGISTS, LLC
- Entity Type
- Organization
- Location Address
- 3950 AUSTELL RD AUSTELL, GA 30106
- Location Phone
- (770) 732-3550
- Location Fax
- (770) 732-3589
- Mailing Address
- 3950 AUSTELL RD AUSTELL, GA 30106
- Mailing Phone
- (770) 732-3550
- Mailing Fax
- (770) 732-3589
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-27-2006
- Last Update Date
- 07-14-2008
- Code Navigator
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
Pathology Anatomic Pathology & Clinical Pathology
- Taxonomy Code
- 207ZP0102X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- SoloCare Bronze EPO HDHP 8050 10004 - EPO
- SoloCare Exp Bronze EPO 7200 - $0 Generic Rx 10015 - EPO
- SoloCare Gold EPO 2300 - 3 Free PCP Visits, $5 Generic Rx 10010 - EPO
- SoloCare Silver EPO 6000/60 - 3 Free PCP Visits 10014 - EPO
- SoloCare Silver EPO 7000 - 3 Free PCP Visits, $5 Generic Rx 10013 - EPO
- SoloCare Standard Exp Bronze EPO 10008 - EPO
- SoloCare Standard Gold EPO 10006 - EPO
- SoloCare Standard Platinum EPO 10005 - EPO
- SoloCare Standard Silver EPO 10007 - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 11D0020351
- Facility Type
- Hospital
- Certificate Effective Date
- December 01, 2023
- Certificate Expiration Date
- November 30, 2025
- Laboratory Director
- DR. CESAR A. ANGELETTI
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Wellstar Physicians Group Pathologists, Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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 | 9 | 6 | 7 | 9 | 2 | 4 | 4 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 18 | 6 | 14 | 9 | 4 | 4 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 8 + 6 + 1 + 4 + 9 + 4 + 4 + 8 + 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 = 6 | 6 | ||||||||
The NPI number 1396792446 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1043292824 | DR. BILLY ALBRA REID JR. PHARM.D.,MBA Individual | Pharmacist | 3950 AUSTELL RD AUSTELL, GA 30106 (770) 732-4151 |
| 1427031442 | DR. YONA DAWN ROBERTS PHARM.D. Individual | Pharmacist | 3950 AUSTELL RD AUSTELL, GA 30106 (770) 732-4160 |
| 1396710067 | WILLIAM C ALLEN MD Individual | Radiology (Diagnostic Radiology) | 3950 AUSTELL RD AUSTELL, GA 30106 (770) 732-4000 |
| 1689640971 | ROBERT E CHANDLEE MD Individual | Radiology (Diagnostic Radiology) | 3950 AUSTELL RD AUSTELL, GA 30106 (770) 732-4000 |
| 1962465559 | HEIDI SOMERS-BROWN CRNA Individual | Nurse Anesthetist, Certified Registered | 3950 AUSTELL RD AUSTELL, GA 30106 (770) 732-3649 |
| 1871556464 | LEE BALOS CRNA Individual | Nurse Anesthetist, Certified Registered | 3950 AUSTELL RD AUSTELL, GA 30106 (770) 732-3649 |
| 1841253432 | RAJENDRA SWAMI MD Individual | Anesthesiology | 3950 AUSTELL RD AUSTELL, GA 30106 (770) 732-3649 |
| 1104889799 | PAUL P SERDULA CRNA Individual | Nurse Anesthetist, Certified Registered | 3950 AUSTELL RD AUSTELL, GA 30106 (770) 732-3649 |
| 1366405698 | ROBERT SILVERMAN MD Individual | Anesthesiology | 3950 AUSTELL RD AUSTELL, GA 30106 (770) 732-3649 |
| 1275596504 | MELISSA T CLINKSCALES PAAA Individual | Nurse Anesthetist, Certified Registered | 3950 AUSTELL RD AUSTELL, GA 30106 (770) 732-3649 |
| 1538122866 | KAMELA COLEMAN MD Individual | Anesthesiology | 3950 AUSTELL RD AUSTELL, GA 30106 (770) 732-3649 |
| 1447213772 | THAKORBHAI PATEL MD Individual | Anesthesiology | 3950 AUSTELL RD AUSTELL, GA 30106 (770) 732-3649 |
| 1518920842 | DAVID TERMOTTO MD Individual | Anesthesiology | 3950 AUSTELL RD AUSTELL, GA 30106 (770) 732-3649 |
| 1245281906 | MICHAEL H WOLFF MD Individual | Radiology (Diagnostic Radiology) | 3950 AUSTELL RD AUSTELL, GA 30106 (770) 732-4000 |
| 1942254628 | WELLSTAR COBB HOSPITALISTS, LLC Organization | Internal Medicine | 3950 AUSTELL RD AUSTELL, GA 30106 (770) 732-4025 |
| 1902844137 | JERRY K HALL MD Individual | Emergency Medicine | 3950 AUSTELL RD AUSTELL, GA 30106 (770) 732-4000 |
| 1902847478 | JAMES MICHAEL METCALF MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 3950 AUSTELL RD HOSPITAL BASED ONLY WELLSTAR COBB HOSPITAL AUSTELL, GA 30106 (770) 732-4415 |
| 1780625830 | GEORGE E MALCOM III MD Individual | Emergency Medicine | 3950 AUSTELL RD AUSTELL, GA 30106 (770) 732-4000 |
| 1265478945 | CHINTU S SHAH MD Individual | Emergency Medicine | 3950 AUSTELL RD AUSTELL, GA 30106 (770) 732-4000 |
| 1831202357 | DR. ORRIN AHOLA MD Individual | Emergency Medicine | 3950 AUSTELL RD AUSTELL, GA 30106 (770) 732-4000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396792446, enumerated in the NPI registry as an "organization" on May 27, 2006
The provider is located at 3950 Austell Rd Austell, Ga 30106 and the phone number is (770) 732-3550
This medical organization specializes in Pathology with taxonomy code 207ZP0102X with a focus in Anatomic Pathology & Clinical Pathology
The provider might be accepting Accepts: Alliant Health Plans, Inc.. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 11D0020351 for a "hospital" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on May 27, 2006. 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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