MOHAWK HEALTHY LIFE CENTER AT ANTIOCH
NPI 1609171917
Non-Pharmacy Dispensing Site in Dalton, GA
NPI Status: Active since January 18, 2011
- Organization
- Non-Pharmacy Dispensing Site
- Accepts Insurance
About MOHAWK HEALTHY LIFE CENTER AT ANTIOCH
This page provides the complete NPI Profile along with additional information for Mohawk Healthy Life Center At Antioch, a provider established in Dalton, Georgia operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1609171917 assigned on January 2011. The practitioner's primary taxonomy code is 332900000X with license number RN213704 (GA). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Mohawk Healthy Life Center At Antioch. The authorized official of this NPI record is Kenny Heine (Vp Of Operations)
- NPI
- 1609171917
- Provider Legal Name
- EVERNORTH DIRECT HEALTH LLC
- Other Organization Name
- MOHAWK HEALTHY LIFE CENTER AT ANTIOCH
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2001 ANTIOCH RD DALTON, GA 30721
- Location Phone
- (706) 275-7660
- Mailing Address
- 9276 SCRANTON RD SUITE 100 SAN DIEGO, CA 92121
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 01-18-2011
- Last Update Date
- 05-03-2021
- 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
Non-Pharmacy Dispensing Site
- Taxonomy Code
- 332900000X
- Type
- Suppliers
- License No.
- RN213704
- License State
- GA
- Taxonomy Description
- A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Elite Gold HMO 004 (Two free PCP visits, $0 Pediatric PCP visits) - HMO
- BSW Elite Gold HMO 012 - HMO
- BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Prime Silver HMO 008 (Two free PCP visits, $0 Pediatric PCP visit) - HMO
- BSW Prime Silver HMO 005 - HMO
- BSW Savers Bronze HMO H S A 006 - HMO
- BSW Vital Bronze HMO 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Vital Bronze HMO 009 (One free PCP visit, $0 Pediatric PCP visit) - HMO
- Sanford Individual Simplicity $1,750 - PPO
- Sanford Individual Simplicity $3,500 - PPO
- Sanford Individual Simplicity $4,750 - PPO
- Sanford Individual Simplicity $6,000 - PPO
- Sanford Individual Simplicity $7,100 HSA Qualified - PPO
- Sanford Individual Simplicity $9,200 - PPO
- Sanford Individual Simplicity Standardized $1,500 - PPO
- Sanford Individual Simplicity Standardized $5,000 - PPO
- Sanford Individual Simplicity Standardized $7,500 - PPO
- Sanford Individual TRUE $1,750 - HMO
- Sanford Individual TRUE $3,500 - HMO
- Sanford Individual TRUE $4,750 - HMO
- Sanford Individual TRUE $6,000 - HMO
- Sanford Individual TRUE $7,100 HSA Qualified - HMO
- Sanford Individual TRUE $9,200 - HMO
- Sanford Individual TRUE Standardized $1,500 - HMO
- Sanford Individual TRUE Standardized $5,000 - HMO
- Sanford Individual TRUE Standardized $7,500 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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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 | 6 | 0 | 9 | 1 | 7 | 1 | 9 | 1 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 0 | 9 | 2 | 7 | 2 | 9 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 0 + 9 + 2 + 7 + 2 + 9 + 2 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1609171917 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 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1902980246 | KIRSTY J ELWELL PA-C Individual | Physician Assistant (Medical) | 2001 ANTIOCH RD DALTON, GA 30721 (706) 275-7600 |
| 1841580958 | MS. BERTHA LUCIA WOAS PA-C Individual | Physician Assistant (Medical) | 2001 ANTIOCH RD DALTON, GA 30721 (706) 275-7660 |
| 1053667865 | PAMELA J SIMMONS NP-C Individual | Nurse Practitioner (Family) | 2001 ANTIOCH RD DALTON, GA 30721 (706) 277-1100 |
| 1205547023 | EVERNORTH DIRECT HEALTH LLC Organization | Clinic/Center | 2001 ANTIOCH RD DALTON, GA 30721 (706) 275-7660 |
| 1881391779 | EVERNORTH DIRECT HEALTH LLC Organization | Clinic/Center | 2001 ANTIOCH RD DALTON, GA 30721 (706) 275-7660 |
| 1952008856 | DESIREE MARIE RATHBURN PA-C Individual | Physician Assistant | 2001 ANTIOCH RD DALTON, GA 30721 (706) 272-7600 |
| 1366034746 | KRISTEN KING Individual | Nurse Practitioner (Family) | 2001 ANTIOCH RD DALTON, GA 30721 (833) 402-8060 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609171917, enumerated in the NPI registry as an "organization" on January 18, 2011
The provider is located at 2001 Antioch Rd Dalton, Ga 30721 and the phone number is (706) 275-7660
This medical organization specializes in Non-Pharmacy Dispensing Site with taxonomy code 332900000X
The provider might be accepting Accepts: Baylor Scott and White Health Plan and Sanford. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on January 18, 2011. 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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