BONE AND JOINT INSTITUTE OF SOUTH GEORGIA, P.C.
NPI 1528104510
Orthopaedic Surgery in Jesup, GA
NPI Status: Active since January 29, 2007
Contact Information
110 PROFESSIONAL CT
JESUP, GA
ZIP 31545
Phone: (912) 427-0800
Fax: (912) 427-6029
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Organization
- Orthopaedic Surgery
- Accepts Insurance
- CLIA Number: 11D2170249
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-06-2025
About BONE AND JOINT INSTITUTE OF SOUTH GEORGIA, P.C.
This page provides the complete NPI Profile along with additional information for Bone And Joint Institute Of South Georgia, P.c., a provider established in Jesup, Georgia operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1528104510 assigned on January 2007. The practitioner's primary taxonomy code is 207X00000X with license number 030633 (GA). The provider is registered as an organization and their NPI record was last updated September 2025. 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
- NPI
- 1528104510
- Provider Legal Name
- BONE AND JOINT INSTITUTE OF SOUTH GEORGIA, P.C.
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 110 PROFESSIONAL CT JESUP, GA 31545
- Location Phone
- (912) 427-0800
- Location Fax
- (912) 427-6029
- Mailing Address
- PO BOX 1334 JESUP, GA 31598
- Mailing Phone
- (912) 427-0800
- Mailing Fax
- (912) 427-6029
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-29-2007
- Last Update Date
- 09-02-2025
- 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
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 030633
- License State
- GA
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
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:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Complete Silver with Atrium Health - HMO
- Complete Silver with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Bronze with Atrium Health - HMO
- Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Focused Silver with Atrium Health - HMO
- Focused Silver with Atrium Health + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Standard Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
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.
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 |
|---|---|---|---|
| 003151448B | MEDICAID (05) | GA | |
| 003151448C | MEDICAID (05) | GA | |
| 003152097D | MEDICAID (05) | GA | |
| 100002585A | MEDICAID (05) | GA | |
| 003134292K | MEDICAID (05) | GA | |
| 100002585C | MEDICAID (05) | GA | |
| 100002585D | MEDICAID (05) | GA | |
| 002374132D | MEDICAID (05) | GA | |
| 1648245 | OTHER (01) | GA | AMERIGROUP |
| 692353788B | MEDICAID (05) | GA | |
| 002374132B | MEDICAID (05) | GA | |
| 003152097C | MEDICAID (05) | GA | |
| 003274130B | MEDICAID (05) | GA | |
| 003274130C | MEDICAID (05) | GA | |
| 002374132A | MEDICAID (05) | GA | |
| 002374132C | MEDICAID (05) | GA | |
| 003134292J | MEDICAID (05) | GA | |
| 003274130AG | MEDICAID (05) | GA | |
| 676978 | OTHER (01) | GA | WELLCARE |
| 692353788C | MEDICAID (05) | GA | |
| 003274130D | MEDICAID (05) | GA | |
| 100002585E | MEDICAID (05) | GA | |
| 692353788D | MEDICAID (05) | GA | |
| 692353788E | 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
- 11D2170249
- Facility Type
- Physician Office
- Certificate Effective Date
- August 07, 2023
- Certificate Expiration Date
- August 06, 2025
- Laboratory Director
- DR. JOHN M. VALOSEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Bone And Joint Institute Of South Georgia, P.c. 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.
Reviews for BONE AND JOINT INSTITUTE OF SOUTH GEORGIA, P.C.
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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 | 5 | 2 | 8 | 1 | 0 | 4 | 5 | 1 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 4 | 8 | 2 | 0 | 8 | 5 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 4 + 8 + 2 + 0 + 8 + 5 + 2 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1528104510 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1356432306 | WILLIAM SCOTT ROWELL PAC Individual | Orthopaedic Surgery | 110 PROFESSIONAL CT JESUP, GA 31545 (912) 427-0800 |
| 1699772228 | J LEX KENERLY III MD Individual | Orthopaedic Surgery | 110 PROFESSIONAL CT JESUP, GA 31545 (912) 427-0800 |
| 1710242961 | MR. MARLIN LAVAR BROWN ATC Individual | Specialist/Technologist (Athletic Trainer) | 110 PROFESSIONAL CT JESUP, GA 31545 (912) 427-0800 |
| 1467475657 | KYLE STEVEN DEUTER PA-C Individual | Physician Assistant (Medical) | 110 PROFESSIONAL CT JESUP, GA 31545 (912) 427-0800 |
| 1285734848 | DR. AMBER BARTLETT ARAGON M.D. Individual | Orthopaedic Surgery | 110 PROFESSIONAL CT JESUP, GA 31545 (912) 427-0800 |
| 1447472048 | DR. JOHN MATTHEW VALOSEN M.D. Individual | Orthopaedic Surgery | 110 PROFESSIONAL CT JESUP, GA 31545 (912) 427-0800 |
| 1609056993 | DR. THOMAS PATRICK LOUMEAU MD Individual | Orthopaedic Surgery (Orthopaedic Surgery of the Spine) | 110 PROFESSIONAL CT JESUP, GA 31545 (912) 427-0800 |
| 1861837817 | GAVIN HEATH DENMARK PA-C Individual | Physician Assistant | 110 PROFESSIONAL CT JESUP, GA 31545 (912) 427-0800 |
| 1790331304 | MR. DEREK WILLIAM TUCKER Individual | Physical Therapy Assistant | 110 PROFESSIONAL CT JESUP, GA 31545 (912) 427-0800 |
| 1790913622 | DR. JAY BRANDON COOK M.D. Individual | Orthopaedic Surgery | 110 PROFESSIONAL CT JESUP, GA 31545 (912) 427-0800 |
| 1730506338 | TATTNALL HOSPITAL COMPANY, LLC Organization | Surgery | 110 PROFESSIONAL CT JESUP, GA 31545 (912) 427-0800 |
| 1083767289 | CEPHAS S GUMBS PT Individual | Physical Therapist | 110 PROFESSIONAL CT JESUP, GA 31545 (912) 427-0800 |
| 1124405568 | BRIAN THOMAS GRISEZ MD Individual | Orthopaedic Surgery | 110 PROFESSIONAL CT JESUP, GA 31545 (912) 427-0800 |
| 1508210485 | TAYLOR JORDAN POLANDER MD Individual | Orthopaedic Surgery (Sports Medicine) | 110 PROFESSIONAL CT JESUP, GA 31545 (912) 427-0800 |
| 1467867655 | MRS. CECILIA MOOK CST/CSFA Individual | Physician Assistant (Surgical) | 110 PROFESSIONAL CT JESUP, GA 31545 (912) 427-0800 |
| 1790356855 | CHRISTOPHER JOHN FELDMAN PT Individual | Physical Therapist | 110 PROFESSIONAL CT JESUP, GA 31545 (912) 427-0800 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528104510, enumerated in the NPI registry as an "organization" on January 29, 2007
The provider is located at 110 Professional Ct Jesup, Ga 31545 and the phone number is (912) 427-0800
This medical organization specializes in Orthopaedic Surgery with taxonomy code 207X00000X
The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 11D2170249 for a "physician office" 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 January 29, 2007. 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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