SKYLAND TRAIL
NPI 1639268022
Community Based Residential Treatment Facility, Mental Illness in Atlanta, GA
NPI Status: Active since October 12, 2006
Contact Information
1903 N DRUID HILLS RD NE
ATLANTA, GA
ZIP 30319
Phone: (404) 315-8333
Fax: (404) 315-9838
- Organization
- Community Based Residential Treatment Fa...
- CLIA Number: 11D1032109
- CLIA Cert. Type: Other - RESIDENTIAL/DAY TX FACILI
- CLIA Exp. Date: 10-17-2026
About SKYLAND TRAIL
This page provides the complete NPI Profile along with additional information for Skyland Trail, a provider established in Atlanta, Georgia operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1639268022 assigned on October 2006. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Skyland Trail. The authorized official of this NPI record is Mr. Ricky Padgett (Director Of Finance)
- NPI
- 1639268022
- Provider Legal Name
- GEORGE B. WEST MENTAL HEALTH FOUNDATION
- Other Organization Name
- SKYLAND TRAIL
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1903 N DRUID HILLS RD NE ATLANTA, GA 30319
- Location Phone
- (404) 315-8333
- Location Fax
- (404) 315-9838
- Mailing Address
- 1903 N DRUID HILLS RD NE ATLANTA, GA 30319
- Mailing Phone
- (404) 315-8333
- Mailing Fax
- (404) 315-9838
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-12-2006
- Last Update Date
- 08-22-2020
- 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
Community Based Residential Treatment Facility, Mental Illness
- Taxonomy Code
- 320800000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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
- 11D1032109
- Facility Type
- Other - RESIDENTIAL/DAY TX FACILI
- Certificate Effective Date
- October 18, 2024
- Certificate Expiration Date
- October 17, 2026
- Laboratory Director
- BEN W. HUNTER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Skyland Trail 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 | 3 | 9 | 2 | 6 | 8 | 0 | 2 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 4 | 6 | 16 | 0 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 4 + 6 + 1 + 6 + 0 + 4 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1639268022 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1881711646 | MS. JUDITH LAMBERT MCKINLEY M.ED., LPC Individual | Counselor (Mental Health) | 1903 N DRUID HILLS RD NE ATLANTA, GA 30319 (678) 686-5914 |
| 1972801942 | AARON J KILTS PSY.D. Individual | Psychologist | 1903 N DRUID HILLS RD NE ATLANTA, GA 30319 (678) 686-5941 |
| 1689924821 | MAUREEN EDYTHE NEWTON NP-C Individual | Nurse Practitioner (Adult Health) | 1903 N DRUID HILLS RD NE ATLANTA, GA 30319 (404) 315-8333 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639268022, enumerated in the NPI registry as an "organization" on October 12, 2006
The provider is located at 1903 N Druid Hills Rd Ne Atlanta, Ga 30319 and the phone number is (404) 315-8333
This medical organization specializes in Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X
The provider's CLIA number is 11D1032109 for a "other - residential/day tx facili" 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 October 12, 2006. 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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