GEORGIA SOUTHERN UNIVERSITY ATHLETICS
NPI 1558615096
Clinic/Center - Student Health in Statesboro, GA
NPI Status: Active since November 06, 2012
Contact Information
590 HERTY DRIVE
ROOM 1216
STATESBORO, GA
ZIP 30458
Phone: (912) 478-7581
Fax: (912) 478-7690
- Organization
- Clinic/Center
- Student Health
- CLIA Number: 11D2267464
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-24-2026
About GEORGIA SOUTHERN UNIVERSITY ATHLETICS
This page provides the complete NPI Profile along with additional information for Georgia Southern University Athletics, a primary care provider established in Statesboro, Georgia operating as a Clinic/center, focusing in student health . The healthcare provider is registered in the NPI registry with number 1558615096 assigned on November 2012. The practitioner's primary taxonomy code is 261QS1000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's other name is Georgia Southern University Athletics. The authorized official of this NPI record is Paul Ferguson (Director)
- NPI
- 1558615096
- Provider Legal Name
- GEORGIA SOUTHERN UNIVERSITY
- Other Organization Name
- GEORGIA SOUTHERN UNIVERSITY ATHLETICS
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 590 HERTY DRIVE ROOM 1216 STATESBORO, GA 30458
- Location Phone
- (912) 478-7581
- Location Fax
- (912) 478-7690
- Mailing Address
- 590 HERTY DRIVE ROOM 1216 STATESBORO, GA 30458
- Mailing Phone
- (912) 478-7581
- Mailing Fax
- (912) 478-7690
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-06-2012
- Last Update Date
- 11-06-2012
- Code Navigator
A primary care provider (PCP) like Georgia Southern University Athletics sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
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 Student Health
- Taxonomy Code
- 261QS1000X
- 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
- 11D2267464
- Facility Type
- Physician Office
- Certificate Effective Date
- August 25, 2024
- Certificate Expiration Date
- August 24, 2026
- Laboratory Director
- PATRICK J. LANCASTER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Georgia Southern University Athletics 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 GEORGIA SOUTHERN UNIVERSITY ATHLETICS
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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 | 5 | 8 | 6 | 1 | 5 | 0 | 9 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 10 | 8 | 12 | 1 | 10 | 0 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 0 + 8 + 1 + 2 + 1 + 1 + 0 + 0 + 1 + 8 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1558615096 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 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1184991937 | RACHEL PLOOR M.S., ATC, LAT Individual | Specialist/Technologist (Athletic Trainer) | 590 HERTY DRIVE HANNER FIELD HOUSE ROOM 1216 STATEBORO, GA 30458 (912) 536-3155 |
| 1780140897 | KAITLYN MEYERS LAT, ATC Individual | Specialist/Technologist (Athletic Trainer) | 590 HERTY DRIVE STATESBORO, GA 30458 (912) 478-1220 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558615096, enumerated in the NPI registry as an "organization" on November 06, 2012
The provider is located at 590 Herty Drive Room 1216 Statesboro, Ga 30458 and the phone number is (912) 478-7581
This medical organization specializes in Clinic/Center with taxonomy code 261QS1000X with a focus in Student Health
The provider's CLIA number is 11D2267464 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 November 06, 2012. 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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