GRADY HEALTH SYSTEM
NPI 1447264163
Clinic/Center in Atlanta, GA

NPI Status: Active since July 28, 2006

Contact Information

1247 DONALD LEE HOLLOWELL PKWY NW
ATLANTA, GA
ZIP 30318
Phone: (404) 616-2265
Fax: (404) 881-0622

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  • Organization
  • Clinic/Center
  • CLIA Number: 11D1001423
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 10-03-2026

About GRADY HEALTH SYSTEM

This page provides the complete NPI Profile along with additional information for Grady Health System, a provider established in Atlanta, Georgia operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1447264163 assigned on July 2006. The practitioner's primary taxonomy code is 261Q00000X with license number R042007 (GA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's other name is Grady Health System. The authorized official of this NPI record is Dr. Carla Mae Schissel R.n., Phd (Nurse Practitioner)

NPI
1447264163
Provider Legal Name
ASA YANCY HEALTH CENTER
Other Organization Name
GRADY HEALTH SYSTEM
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1247 DONALD LEE HOLLOWELL PKWY NW ATLANTA, GA 30318
Location Phone
(404) 616-2265
Location Fax
(404) 881-0622
Mailing Address
1886 WINDEMERE DR NE ATLANTA, GA 30324
Mailing Phone
(404) 874-4609
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-28-2006
Last Update Date
10-31-2007
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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

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
R042007
License State
GA
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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. CARLA MAE SCHISSEL R.N., PHD

Authorized Official Title
NURSE PRACTITIONER
Authorized Official Phone
(404) 616-2265

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
11D1001423
Facility Type
Community Clinic
Certificate Effective Date
October 04, 2024
Certificate Expiration Date
October 03, 2026
Laboratory Director
DR. KORNELIA D. GALIOR
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Grady Health System 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.

Reviews for GRADY HEALTH SYSTEM

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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.
1447264163
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2487468112
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 8 + 7 + 4 + 6 + 8 + 1 + 1 + 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 = 33

The NPI number 1447264163 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 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366442238 SUJATA BHOWMIK MD
Individual
Internal Medicine1247 DONALD LEE HOLLOWELL PKWY NW
ATLANTA, GA 30318
(404) 616-9794
1912992942DR. MICHELLE L TODD MD
Individual
Family Medicine1247 DONALD LEE HOLLOWELL PKWY NW ASA G. YANCEY, SR., M.D. HEALTH CENTER
ATLANTA, GA 30318
(404) 616-2265
1922104496 MICHAEL P RAFFERTY MD
Individual
Family Medicine1247 DONALD LEE HOLLOWELL PKWY NW
ATLANTA, GA 30318
(404) 616-2265
1609055169DR. CARLA MAE SCHISSEL NURSE PRACTITIONER
Individual
Nurse Practitioner (Adult Health)1247 DONALD LEE HOLLOWELL PKWY NW
ATLANTA, GA 30318
(404) 616-2256
1467670414DR. FELECIA LANE DNP,FNP-C, MS
Individual
Nurse Practitioner1247 DONALD LEE HOLLOWELL PKWY NW ASA YANCEY HEALTH CENTER OF GRADY HEALTHCARE
ATLANTA, GA 30318
(404) 616-2265
1619982261GRADY MEMORIAL HOSPITAL CORPORATION
Organization
Pharmacy (Community/Retail Pharmacy)1247 DONALD LEE HOLLOWELL PKWY NW
ATLANTA, GA 30318
(404) 616-9951
1033555263DR. RASHIDA ALLEN AVERY MD
Individual
Pediatrics1247 DONALD LEE HOLLOWELL PKWY NW
ATLANTA, GA 30318
(404) 616-2265
1477870111DR. WILHELMINA MARGARETHA PRINSSEN M.D.
Individual
Family Medicine1247 DONALD LEE HOLLOWELL PKWY NW
ATLANTA, GA 30318
(404) 616-9304
1063936268 COURTNEY HOOKS RN, CNM, WHNP
Individual
Advanced Practice Midwife1247 DONALD LEE HOLLOWELL PKWY NW
ATLANTA, GA 30318
(404) 616-2265
1407951049DR. BETTI JO STEELE M.D.
Individual
Pediatrics1247 DONALD LEE HOLLOWELL PKWY NW
ATLANTA, GA 30318
(404) 616-2265
1285746867 RENEE A. WHEELER D.O.
Individual
Family Medicine1247 DONALD LEE HOLLOWELL PKWY NW
ATLANTA, GA 30318
(404) 616-2265
1063902021DR. COURTNEY ANDREA MCWHORTER MD
Individual
Family Medicine1247 DONALD LEE HOLLOWELL PKWY NW
ATLANTA, GA 30318
(404) 616-2265
1427677871 GALEN JAMES NAILOR MD
Individual
Internal Medicine1247 DONALD LEE HOLLOWELL PKWY NW
ATLANTA, GA 30318
(404) 616-2265

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447264163, enumerated in the NPI registry as an "organization" on July 28, 2006

The provider is located at 1247 Donald Lee Hollowell Pkwy Nw Atlanta, Ga 30318 and the phone number is (404) 616-2265

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

The provider's CLIA number is 11D1001423 for a "community clinic" 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 July 28, 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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