SOUTH GEORGIA VASCULAR INSTITUTE
NPI 1609062215
Specialist in Thomasville, GA

NPI Status: Active since September 18, 2007

Contact Information

903 S BROAD ST
THOMASVILLE, GA
ZIP 31792
Phone: (229) 551-0024
Fax: (229) 551-0254

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  • Organization
  • Specialist

About SOUTH GEORGIA VASCULAR INSTITUTE

This page provides the complete NPI Profile along with additional information for South Georgia Vascular Institute, a provider established in Thomasville, Georgia operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1609062215 assigned on September 2007. The practitioner's primary taxonomy code is 174400000X with license number 056092 (GA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Robert Lewus Cirillo Jr. M.d. (Medical Director)

NPI
1609062215
Provider Name
SOUTH GEORGIA VASCULAR INSTITUTE
Entity Type
Organization
Location Address
903 S BROAD ST THOMASVILLE, GA 31792
Location Phone
(229) 551-0024
Location Fax
(229) 551-0254
Mailing Address
903 S BROAD ST THOMASVILLE, GA 31792
Mailing Phone
(229) 551-0024
Mailing Fax
(229) 551-0254
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-18-2007
Last Update Date
09-18-2007
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
056092
License State
GA
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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.

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

DR. ROBERT LEWUS CIRILLO JR. M.D.

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(229) 551-0024

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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.
1609062215
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
260906422
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 0 + 6 + 4 + 2 + 2 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1609062215 is valid because the calculated check digit 5 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
1124197397SOUTH GEORGIA LASER VEIN CENTER
Organization
Specialist903 S BROAD ST
THOMASVILLE, GA 31792
(229) 551-0024

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609062215, enumerated in the NPI registry as an "organization" on September 18, 2007

The provider is located at 903 S Broad St Thomasville, Ga 31792 and the phone number is (229) 551-0024

This medical organization specializes in Specialist with taxonomy code 174400000X

This NPI record was last updated on September 18, 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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