ANDREW CARSON BARTLEY
NPI 1609543206
Student in an Organized Health Care Education/Training Program in Atlanta, GA

NPI Status: Active since August 23, 2021

Contact Information

201 DOWMAN DR NE APT I
ATLANTA, GA
ZIP 30322
Phone: (404) 727-6123

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  • Individual
  • Male
  • Years of Experience 4
  • Student in an Organized Health Care Educ...
  • Accepts Medicare Approved Payment

About ANDREW BARTLEY

This page provides the complete NPI Profile along with additional information for Andrew Bartley, a primary care provider established in Atlanta, Georgia with a medical specialization in Student In An Organized Health Care Education/training Program and more than 4 years of experience. The healthcare provider is registered in the NPI registry with number 1609543206 assigned on August 2021. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1609543206
Provider Name
ANDREW CARSON BARTLEY
Gender
Male
Entity Type
Individual
Location Address
201 DOWMAN DR NE APT I ATLANTA, GA 30322
Location Phone
(404) 727-6123
Mailing Address
201 DOWMAN DR NE APT I ATLANTA, GA 30322
Mailing Phone
(404) 727-6123
Medical School Name
OTHER
Graduation Year
2022
Is Sole Proprietor?
No
Enumeration Date
08-23-2021
Last Update Date
08-23-2021
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A primary care provider (PCP) like Andrew Bartley 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

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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

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Medicare Participation & PECOS Enrollment Status

Andrew Bartley is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 4486029014

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20230412001209

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Andrew Bartley is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ARCHBOLD MEMORIAL915 GORDON AVENUE & MIMOSA DRIVE
THOMASVILLE, GA 31792
(229) 228-2880Acute Care Hospitals

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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.
1609543206
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2609104620
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 1 + 0 + 4 + 6 + 2 + 0 + 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 = 66

The NPI number 1609543206 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609543206, enumerated in the NPI registry as an "individual" on August 23, 2021

The provider is located at 201 Dowman Dr Ne Apt I Atlanta, Ga 30322 and the phone number is (404) 727-6123

The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X

The provider has more than 4 years of experience.

The practitioner is affiliated to the following hospital(s): ARCHBOLD MEMORIAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on August 23, 2021. 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.