ONE STOP MEDICAL CLINIC
NPI 1669796090
Clinic/Center in Douglasville, GA
NPI Status: Active since March 13, 2010
Contact Information
3311 HIGHWAY 5
STE C
DOUGLASVILLE, GA
ZIP 30135
Phone: (678) 383-6944
- Organization
- Clinic/Center
- CLIA Number: 11D2307793
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-15-2026
About ONE STOP MEDICAL CLINIC
This page provides the complete NPI Profile along with additional information for One Stop Medical Clinic, a provider established in Douglasville, Georgia operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1669796090 assigned on March 2010. The practitioner's primary taxonomy code is 261Q00000X with license number 159225 (GA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Dr. Uvienome Linda Sakor Dnp (Nurse Practitioner)
- NPI
- 1669796090
- Provider Name
- ONE STOP MEDICAL CLINIC
- Entity Type
- Organization
- Location Address
- 3311 HIGHWAY 5 STE C DOUGLASVILLE, GA 30135
- Location Phone
- (678) 383-6944
- Mailing Address
- 7892 SUNVALLEY LN LITHIA SPRINGS, GA 30122
- Mailing Phone
- (678) 383-6944
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-13-2010
- Last Update Date
- 06-05-2012
- 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
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 159225
- License State
- GA
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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
- 11D2307793
- Facility Type
- Physician Office
- Certificate Effective Date
- July 16, 2024
- Certificate Expiration Date
- July 15, 2026
- Laboratory Director
- RUTH MAYS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to One Stop Medical Clinic 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 | 6 | 9 | 7 | 9 | 6 | 0 | 9 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 12 | 9 | 14 | 9 | 12 | 0 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 2 + 9 + 1 + 4 + 9 + 1 + 2 + 0 + 1 + 8 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1669796090 is valid because the calculated check digit 0 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 1669796090, enumerated in the NPI registry as an "organization" on March 13, 2010
The provider is located at 3311 Highway 5 Ste C Douglasville, Ga 30135 and the phone number is (678) 383-6944
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
The provider's CLIA number is 11D2307793 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 March 13, 2010. 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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