PRUITTHEALTH HOME FIRST - AUGUSTA
NPI 1396809513
Case Management in Augusta, GA
NPI Status: Active since December 21, 2006
Contact Information
1220 AUGUSTA WEST PARKWAY
AUGUSTA, GA
ZIP 30909
Phone: (706) 651-1535
Fax: (706) 863-9401
- Organization
- Case Management
- CLIA Number: 11D2209012
- CLIA Cert. Type: Independent
- CLIA Exp. Date: 01-10-2027
About PRUITTHEALTH HOME FIRST - AUGUSTA
This page provides the complete NPI Profile along with additional information for Pruitthealth Home First - Augusta, a provider established in Augusta, Georgia operating as a Case Management. The healthcare provider is registered in the NPI registry with number 1396809513 assigned on December 2006. The practitioner's primary taxonomy code is 251B00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Pruitthealth Home First - Augusta. The authorized official of this NPI record is Mr. Neil L Pruitt Jr. (Chairman And Ceo)
- NPI
- 1396809513
- Provider Legal Name
- PRUITTHEALTH HOME FIRST, INC.
- Other Organization Name
- PRUITTHEALTH HOME FIRST - AUGUSTA
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1220 AUGUSTA WEST PARKWAY AUGUSTA, GA 30909
- Location Phone
- (706) 651-1535
- Location Fax
- (706) 863-9401
- Mailing Address
- 1626 JEURGENS CT NORCROSS, GA 30093
- Mailing Phone
- (706) 651-1535
- Mailing Fax
- (706) 863-9401
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-21-2006
- Last Update Date
- 01-24-2018
- 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
Case Management
- Taxonomy Code
- 251B00000X
- Type
- Agencies
- Taxonomy Description
- An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
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.
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 |
|---|---|---|---|
| 85500800G | MEDICAID (05) | GA |
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
- 11D2209012
- Facility Type
- Independent
- Certificate Effective Date
- January 11, 2025
- Certificate Expiration Date
- January 10, 2027
- Laboratory Director
- BRENDA BRADDOCK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pruitthealth Home First - Augusta 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 | 9 | 6 | 8 | 0 | 9 | 5 | 1 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 18 | 6 | 16 | 0 | 18 | 5 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 8 + 6 + 1 + 6 + 0 + 1 + 8 + 5 + 2 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1396809513 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1841879194 | PRUITTHEALTH HOME HEALTH, INC. Organization | Home Health | 1220 AUGUSTA WEST PARKWAY AUGUSTA, GA 30909 (770) 279-6200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396809513, enumerated in the NPI registry as an "organization" on December 21, 2006
The provider is located at 1220 Augusta West Parkway Augusta, Ga 30909 and the phone number is (706) 651-1535
This medical organization specializes in Case Management with taxonomy code 251B00000X
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.
The provider's CLIA number is 11D2209012 for a "independent" 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 December 21, 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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