CLASSIC CITY ORTHODONTICS
NPI 1609249903
Exclusive Provider Organization in Athens, GA

NPI Status: Active since November 09, 2015

Contact Information

600 OGLETHORPE AVE
ATHENS, GA
ZIP 30606
Phone: (706) 549-4748
Fax: (706) 705-1650

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About CLASSIC CITY ORTHODONTICS

This page provides the complete NPI Profile along with additional information for Classic City Orthodontics, a provider established in Athens, Georgia operating as a Exclusive Provider Organization. The healthcare provider is registered in the NPI registry with number 1609249903 assigned on November 2015. The practitioner's primary taxonomy code is 302F00000X with license number 012101 (GA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mrs. Carla Robin Oliver (Insurance Coordinator)

NPI
1609249903
Provider Name
CLASSIC CITY ORTHODONTICS
Entity Type
Organization
Location Address
600 OGLETHORPE AVE ATHENS, GA 30606
Location Phone
(706) 549-4748
Location Fax
(706) 705-1650
Mailing Address
600 OGLETHORPE AVE ATHENS, GA 30606
Mailing Phone
(706) 549-4748
Mailing Fax
(706) 705-1650
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-09-2015
Last Update Date
11-09-2015
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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

Exclusive Provider Organization

Taxonomy Code
302F00000X
Type
Managed Care Organizations
License No.
012101
License State
GA
Taxonomy Description
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MRS. CARLA ROBIN OLIVER

Authorized Official Title
INSURANCE COORDINATOR
Authorized Official Phone
(706) 549-4748

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1669591947OTHER (01)GANPI

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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.
1609249903
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2609441890
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 4 + 4 + 1 + 8 + 9 + 0 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1609249903 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1780748855 ALBERT DON SHACKELFORD JR. DMD
Individual
Dentist600 OGLETHORPE AVE SUITE 2
ATHENS, GA 30606
(706) 353-2298
1679627616DR. DOUGLAS C. HENSON JR. D.M.D.
Individual
Dentist (General Practice)600 OGLETHORPE AVE SUITE 1
ATHENS, GA 30606
(706) 353-2575
1669591947 C. TRADD HARTER D.M.D.
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)600 OGLETHORPE AVE SUITE 3
ATHENS, GA 30606
(706) 549-4748
1699057810ORAL & MAXILLOFACIAL SURGERY CENTER OF ATHENS, LLC
Organization
Clinic/Center (Ambulatory Surgical)600 OGLETHORPE AVE SUITE 4
ATHENS, GA 30606
(706) 549-5033
1922208248DR. JONATHAN TOMLINSON DMD, MD
Individual
Dentist (Oral and Maxillofacial Surgery)600 OGLETHORPE AVE SUITE 4
ATHENS, GA 30606
(706) 549-5033

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609249903, enumerated in the NPI registry as an "organization" on November 09, 2015

The provider is located at 600 Oglethorpe Ave Athens, Ga 30606 and the phone number is (706) 549-4748

This medical organization specializes in Exclusive Provider Organization with taxonomy code 302F00000X

The provider might be accepting Accepts: Medicare and Medicaid. 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 November 09, 2015. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.