VITAMEDX
NPI 1467183996
Clinic/Center - Multi-Specialty in Stone Mountain, GA
NPI Status: Active since June 24, 2022
Contact Information
6254 MEMORIAL DR STE F
STONE MOUNTAIN, GA
ZIP 30083
Phone: (770) 558-1029
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 11D2245022
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 12-07-2025
About VITAMEDX
This page provides the complete NPI Profile along with additional information for Vitamedx, a provider established in Stone Mountain, Georgia operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1467183996 assigned on June 2022. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Vitamedx. The authorized official of this NPI record is Andrea Caeser Np (Chief Executive Officer)
- NPI
- 1467183996
- Provider Legal Name
- VITAINFUSE THERAPY LLC
- Other Organization Name
- VITAMEDX
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 6254 MEMORIAL DR STE F STONE MOUNTAIN, GA 30083
- Location Phone
- (770) 558-1029
- Mailing Address
- 6254 MEMORIAL DR STE F STONE MOUNTAIN, GA 30083
- Mailing Phone
- (770) 558-1029
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-24-2022
- Last Update Date
- 10-02-2022
- 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
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
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
- 11D2245022
- Facility Type
- Practitioner Other
- Certificate Effective Date
- December 08, 2023
- Certificate Expiration Date
- December 07, 2025
- Laboratory Director
- ANDREA F. CAESAR
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Vitamedx 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 | 4 | 6 | 7 | 1 | 8 | 3 | 9 | 9 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 12 | 7 | 2 | 8 | 6 | 9 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 2 + 7 + 2 + 8 + 6 + 9 + 1 + 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 1467183996 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 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1003008426 | WELLNESSONE OF STONE MOUNTAIN Organization | Chiropractor | 6254 MEMORIAL DR STE F STONE MOUNTAIN, GA 30083 (770) 469-1600 |
| 1083879621 | SHAWANICA L ROBERTS D.C. Individual | Chiropractor | 6254 MEMORIAL DR STE F STONE MOUNTAIN, GA 30083 (770) 795-0506 |
| 1477841336 | ANDREA PINDLING NP Individual | Nurse Practitioner | 6254 MEMORIAL DR STE F STONE MOUNTAIN, GA 30083 (770) 588-1029 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467183996, enumerated in the NPI registry as an "organization" on June 24, 2022
The provider is located at 6254 Memorial Dr Ste F Stone Mountain, Ga 30083 and the phone number is (770) 558-1029
This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty
The provider's CLIA number is 11D2245022 for a "practitioner other" 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 June 24, 2022. 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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