SUMMIT SPINE & JOINT CENTERS
NPI 1538671847
Pain Medicine - Interventional Pain Medicine in Braselton, GA
NPI Status: Active since October 26, 2017
Contact Information
1255 FRIENDSHIP RD STE 150
BRASELTON, GA
ZIP 30517
Phone: (770) 962-3642
Fax: (770) 962-3643
- Organization
- Pain Medicine
- Interventional Pain Medicine
- CLIA Number: 11D2071918
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-15-2026
About SUMMIT SPINE & JOINT CENTERS
This page provides the complete NPI Profile along with additional information for Summit Spine & Joint Centers, a provider established in Braselton, Georgia operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1538671847 assigned on October 2017. The practitioner's primary taxonomy code is 208VP0014X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Summit Spine & Joint Centers. The authorized official of this NPI record is Amit Patel Md (Ceo)
- NPI
- 1538671847
- Provider Legal Name
- GEORGIA PAIN AND WELLNESS CENTER, LLC
- Other Organization Name
- SUMMIT SPINE & JOINT CENTERS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1255 FRIENDSHIP RD STE 150 BRASELTON, GA 30517
- Location Phone
- (770) 962-3642
- Location Fax
- (770) 962-3643
- Mailing Address
- 455 PHILIP BLVD STE 140 LAWRENCEVILLE, GA 30046
- Mailing Phone
- (770) 962-3642
- Mailing Fax
- (770) 962-3643
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-26-2017
- Last Update Date
- 08-05-2022
- 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
Pain Medicine Interventional Pain Medicine
- Taxonomy Code
- 208VP0014X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |
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
- 11D2071918
- Facility Type
- Physician Office
- Certificate Effective Date
- November 16, 2024
- Certificate Expiration Date
- November 15, 2026
- Laboratory Director
- DR. MOAZZAM KHAN
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Summit Spine & Joint Centers 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.
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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 | 3 | 8 | 6 | 7 | 1 | 8 | 4 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 6 | 8 | 12 | 7 | 2 | 8 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 6 + 8 + 1 + 2 + 7 + 2 + 8 + 8 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1538671847 is valid because the calculated check digit 7 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 |
|---|---|---|---|
| 1346832169 | WILLIAM JOSEPH WIKOFF NP Individual | Nurse Practitioner (Family) | 1255 FRIENDSHIP RD STE 150 BRASELTON, GA 30517 (770) 962-3642 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538671847, enumerated in the NPI registry as an "organization" on October 26, 2017
The provider is located at 1255 Friendship Rd Ste 150 Braselton, Ga 30517 and the phone number is (770) 962-3642
This medical organization specializes in Pain Medicine with taxonomy code 208VP0014X with a focus in Interventional Pain Medicine
The provider's CLIA number is 11D2071918 for a "physician office" 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 October 26, 2017. 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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