BRUNSWICK MEDICAL LLC
NPI 1639959299
Clinic/Center - Primary Care in Brunswick, GA
NPI Status: Active since October 02, 2023
Contact Information
1111 GLYNCO PKWY STE 10
BRUNSWICK, GA
ZIP 31525
Phone: (912) 574-4313
- Organization
- Clinic/Center
- Primary Care
- CLIA Number: 11D2293613
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-12-2025
About BRUNSWICK MEDICAL LLC
This page provides the complete NPI Profile along with additional information for Brunswick Medical Llc, a primary care provider established in Brunswick, Georgia operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1639959299 assigned on October 2023. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Jeuslyn Chandler Md (Medical Director)
- NPI
- 1639959299
- Provider Name
- BRUNSWICK MEDICAL LLC
- Entity Type
- Organization
- Location Address
- 1111 GLYNCO PKWY STE 10 BRUNSWICK, GA 31525
- Location Phone
- (912) 574-4313
- Mailing Address
- 1111 GLYNCO PKWY BUILDING 1 SUITE 10 BRUNSWICK, GA 31525
- Mailing Phone
- (912) 574-4313
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-02-2023
- Last Update Date
- 03-15-2024
- Code Navigator
A primary care provider (PCP) like Brunswick Medical Llc 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 .
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
Clinic/Center Primary Care
- Taxonomy Code
- 261QP2300X
- Type
- Ambulatory Health Care Facilities
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 |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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
- 11D2293613
- Facility Type
- Physician Office
- Certificate Effective Date
- November 13, 2023
- Certificate Expiration Date
- November 12, 2025
- Laboratory Director
- JEUSLYN CHANDLER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Brunswick Medical Llc 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 | 9 | 5 | 9 | 2 | 9 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 18 | 5 | 18 | 2 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 1 + 8 + 5 + 1 + 8 + 2 + 1 + 8 + 24 = 81 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 90 - 81 = 9 | 9 | ||||||||
The NPI number 1639959299 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1225660491 | MRS. NICOLE SHUPE FULLARD NP Individual | Nurse Practitioner (Family) | 1111 GLYNCO PKWY STE 10 BRUNSWICK, GA 31525 (912) 264-9111 |
| 1518513258 | CAROLINE DEJARNETT FLEXER FNP-BC Individual | Nurse Practitioner (Family) | 1111 GLYNCO PKWY STE 10 BRUNSWICK, GA 31525 (912) 264-9111 |
| 1609580695 | JOANNE MARIE ZANETOS FNP Individual | Nurse Practitioner (Family) | 1111 GLYNCO PKWY STE 10 BRUNSWICK, GA 31525 (912) 264-9111 |
| 1689223851 | BENTLEY LAUREN KLEIN NP Individual | Nurse Practitioner | 1111 GLYNCO PKWY STE 10 BRUNSWICK, GA 31525 (912) 574-4313 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639959299, enumerated in the NPI registry as an "organization" on October 02, 2023
The provider is located at 1111 Glynco Pkwy Ste 10 Brunswick, Ga 31525 and the phone number is (912) 574-4313
This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care
The provider's CLIA number is 11D2293613 for a "physician office" 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 02, 2023. 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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