JUDY B BAIN
NPI 1679132922
Clinic/Center in Lagrange, GA

NPI Status: Active since June 11, 2019

Contact Information

104 HARWELL AVE STE 236
LAGRANGE, GA
ZIP 30240
Phone: (706) 885-0111
Fax: (706) 885-0607

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  • Organization
  • Clinic/Center

About JUDY B BAIN

This page provides the complete NPI Profile along with additional information for Judy B Bain, a provider established in Lagrange, Georgia operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1679132922 assigned on June 2019. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Roxie Moton (Credentialing Specialist)

NPI
1679132922
Provider Name
JUDY B BAIN
Entity Type
Organization
Location Address
104 HARWELL AVE STE 236 LAGRANGE, GA 30240
Location Phone
(706) 885-0111
Location Fax
(706) 885-0607
Mailing Address
104 HARWELL AVE STE 236 LAGRANGE, GA 30240
Mailing Phone
(706) 885-0111
Mailing Fax
(706) 885-0607
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-11-2019
Last Update Date
06-11-2019
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
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).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROXIE MOTON

Authorized Official Title
CREDENTIALING SPECIALIST
Authorized Official Phone
(706) 594-6073

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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.
1679132922
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2614923494
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 4 + 9 + 2 + 3 + 4 + 9 + 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 = 22

The NPI number 1679132922 is valid because the calculated check digit 2 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 1679132922, enumerated in the NPI registry as an "organization" on June 11, 2019

The provider is located at 104 Harwell Ave Ste 236 Lagrange, Ga 30240 and the phone number is (706) 885-0111

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

This NPI record was last updated on June 11, 2019. 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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