DECATUR PEDIATRIC GROUP
NPI 1609515410
Pediatrics in Lithonia, GA
NPI Status: Active since May 31, 2022
Contact Information
5424 HILLANDALE PARK CT STE A
LITHONIA, GA
ZIP 30058
Phone: (404) 296-7133
- Organization
- Pediatrics
- CLIA Number: 10D2274166
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 12-27-2026
About DECATUR PEDIATRIC GROUP
This page provides the complete NPI Profile along with additional information for Decatur Pediatric Group, a pediatrician established in Lithonia, Georgia operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1609515410 assigned on May 2022. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Decatur Pediatric Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Decatur Pediatric Group. The authorized official of this NPI record is Patrick Carnegie (President & Ceo)
- NPI
- 1609515410
- Provider Legal Name
- MCR HEALTH, INC.
- Other Organization Name
- DECATUR PEDIATRIC GROUP
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 5424 HILLANDALE PARK CT STE A LITHONIA, GA 30058
- Location Phone
- (404) 296-7133
- Mailing Address
- 101 RIVERFRONT BLVD STE 710 BRADENTON, FL 34205
- Mailing Phone
- (941) 776-4000
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-31-2022
- Last Update Date
- 09-02-2022
- Code Navigator
A pediatrician like Decatur Pediatric Group is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 2 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 3 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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
- 10D2274166
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- December 28, 2024
- Certificate Expiration Date
- December 27, 2026
- Laboratory Director
- MONICA RIDER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Decatur Pediatric Group 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.
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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 | 5 | 1 | 5 | 4 | 1 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 0 | 9 | 10 | 1 | 10 | 4 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 0 + 9 + 1 + 0 + 1 + 1 + 0 + 4 + 2 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1609515410 is valid because the calculated check digit 0 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 |
|---|---|---|---|
| 1770287906 | MEDCURA HEALTH, INC. Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 5424 HILLANDALE PARK CT STE A LITHONIA, GA 30058 (404) 298-8998 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609515410, enumerated in the NPI registry as an "organization" on May 31, 2022
The provider is located at 5424 Hillandale Park Ct Ste A Lithonia, Ga 30058 and the phone number is (404) 296-7133
This medical organization specializes in Pediatrics with taxonomy code 208000000X
The provider's CLIA number is 10D2274166 for a "federally qualified health center" 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 May 31, 2022. 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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