MARIETTA RECOVERY CENTERS, INC
NPI 1538518931
Clinic/Center - Rehabilitation, Substance Use Disorder in St Simons Island, GA

NPI Status: Active since June 07, 2016

Contact Information

70 GRUBER LN
SUITE 107
ST SIMONS ISLAND, GA
ZIP 31522
Phone: (404) 237-5519
Fax: (404) 262-2557

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About MARIETTA RECOVERY CENTERS, INC

This page provides the complete NPI Profile along with additional information for Marietta Recovery Centers, Inc, a provider established in St Simons Island, Georgia operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1538518931 assigned on June 2016. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Wendy Jennings (Owner)

NPI
1538518931
Provider Name
MARIETTA RECOVERY CENTERS, INC
Entity Type
Organization
Location Address
70 GRUBER LN SUITE 107 ST SIMONS ISLAND, GA 31522
Location Phone
(404) 237-5519
Location Fax
(404) 262-2557
Mailing Address
1290 KENNESTONE CIR SUITE 101 MARIETTA, GA 30066
Mailing Phone
(404) 237-5519
Mailing Fax
(404) 262-2557
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-07-2016
Last Update Date
12-29-2016
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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 Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

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

WENDY JENNINGS

Authorized Official Title
OWNER
Authorized Official Phone
(954) 800-8387

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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.
1538518931
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25681011696
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 6 + 8 + 1 + 0 + 1 + 1 + 6 + 9 + 6 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1538518931 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1700216884ACORN RECOVERY INSTITUTE, INC.
Organization
Clinic/Center (Rehabilitation, Substance Use Disorder)70 GRUBER LN SUITE 107
ST SIMONS ISLAND, GA 31522
(954) 746-8232
1063824571ACORN OUTPATIENT ATLANTA, LLC
Organization
Clinic/Center (Rehabilitation, Substance Use Disorder)70 GRUBER LN SUITE 107
ST SIMONS ISLAND, GA 31522
(954) 746-8232

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538518931, enumerated in the NPI registry as an "organization" on June 07, 2016

The provider is located at 70 Gruber Ln Suite 107 St Simons Island, Ga 31522 and the phone number is (404) 237-5519

This medical organization specializes in Clinic/Center with taxonomy code 261QR0405X with a focus in Rehabilitation, Substance Use Disorder

This NPI record was last updated on June 07, 2016. 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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