PIEDMONT SPECIALTY HOSPITAL BILLING LLC
NPI 1699290510
Internal Medicine in Jasper, GA
NPI Status: Active since August 11, 2017
Contact Information
1266 HIGHWAY 515 S
JASPER, GA
ZIP 30143
Phone: (770) 801-2500
Fax: (770) 803-2121
- Organization
- Internal Medicine
- Accepts Insurance
- CLIA Number: 11D0970184
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-06-2026
About PIEDMONT SPECIALTY HOSPITAL BILLING LLC
This page provides the complete NPI Profile along with additional information for Piedmont Specialty Hospital Billing Llc, an internist established in Jasper, Georgia operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1699290510 assigned on August 2017. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Mrs. Christy Aquino (Director Of Provider Enorllment)
- NPI
- 1699290510
- Provider Name
- PIEDMONT SPECIALTY HOSPITAL BILLING LLC
- Entity Type
- Organization
- Location Address
- 1266 HIGHWAY 515 S JASPER, GA 30143
- Location Phone
- (770) 801-2500
- Location Fax
- (770) 803-2121
- Mailing Address
- PO BOX 102847 ATLANTA, GA 30368
- Mailing Phone
- (770) 801-2500
- Mailing Fax
- (770) 803-2121
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-11-2017
- Last Update Date
- 02-06-2023
- Code Navigator
An internist like Piedmont Specialty Hospital Billing Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Complete Silver with Atrium Health - HMO
- Complete Silver with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 003202949A | MEDICAID (05) | GA |
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
- 11D0970184
- Facility Type
- Physician Office
- Certificate Effective Date
- February 07, 2024
- Certificate Expiration Date
- February 06, 2026
- Laboratory Director
- ROBERTO D. PEREIRA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Piedmont Specialty Hospital Billing 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 | 9 | 9 | 2 | 9 | 0 | 5 | 1 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 18 | 9 | 4 | 9 | 0 | 5 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 8 + 9 + 4 + 9 + 0 + 5 + 2 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1699290510 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1053371138 | PIEDMONT MOUNTAINSIDE HOSPITAL, INC Organization | Medicare Defined Swing Bed Unit | 1266 HIGHWAY 515 S JASPER, GA 30143 (706) 301-5269 |
| 1497763163 | DR. CHRISTOPHER LARRY ATKINS M.D. Individual | Family Medicine | 1266 HIGHWAY 515 S JASPER, GA 30143 (706) 301-5350 |
| 1982732483 | MOHAMED ELBASHA MD Individual | Emergency Medicine | 1266 HIGHWAY 515 S JASPER, GA 30143 (706) 692-2441 |
| 1902178957 | DELORES RAE TUCKER RN, APRN, GCNS-BC Individual | Clinical Nurse Specialist (Adult Health) | 1266 HIGHWAY 515 S IMS HOSPITALISTS DEE TUCKER JASPER, GA 30143 (404) 323-8682 |
| 1912993452 | ROSEMARIE SPILLANE M.D. Individual | Anesthesiology | 1266 HIGHWAY 515 S JASPER, GA 30143 (706) 692-2441 |
| 1548256084 | SUSANNE RAISOR CRNA Individual | Nurse Anesthetist, Certified Registered | 1266 HIGHWAY 515 S JASPER, GA 30143 (706) 692-2441 |
| 1255796645 | JAMES WESLEY CONNER CRNA Individual | Nurse Anesthetist, Certified Registered | 1266 HIGHWAY 515 S JASPER, GA 30143 (706) 455-7737 |
| 1881670180 | DR. DAVID JOHN GOWER MD Individual | Neurological Surgery | 1266 HIGHWAY 515 S JASPER, GA 30143 (404) 367-3014 |
| 1194756676 | DR. ROBERT LACOUR MITCHELL MD Individual | Internal Medicine | 1266 HIGHWAY 515 S JASPER, GA 30143 (706) 692-2441 |
| 1639556657 | DR. VIMAL KIRIT PATEL D.O. Individual | Hospitalist | 1266 HIGHWAY 515 S JASPER, GA 30143 (404) 367-3014 |
| 1346327152 | MOUNTAINSIDE ANESTHESIA CONSULTANTS LLC Organization | Anesthesiology | 1266 HIGHWAY 515 S JASPER, GA 30143 (706) 301-5434 |
| 1306036934 | SHIREEN HAQUE MD Individual | Anesthesiology | 1266 HIGHWAY 515 S JASPER, GA 30143 (706) 301-5434 |
| 1891480398 | MOUNTAINSIDE PATHOLOGY, LLC Organization | Pathology (Anatomic Pathology & Clinical Pathology) | 1266 HIGHWAY 515 S JASPER, GA 30143 (706) 692-2441 |
| 1366458192 | MERRILL DEPETRILLO NP Individual | Nurse Practitioner | 1266 HIGHWAY 515 S JASPER, GA 30143 (706) 692-2441 |
| 1962481168 | DR. MOHAMMAD ANNABA MD Individual | Internal Medicine | 1266 HIGHWAY 515 S JASPER, GA 30143 (404) 367-3014 |
| 1780643411 | PIEDMONT MOUNTAINSIDE HOSPITAL, INC. Organization | General Acute Care Hospital | 1266 HIGHWAY 515 S JASPER, GA 30143 (706) 301-5269 |
| 1386420107 | ASHLEY VALDERRAMA MS, CCC-SLP Individual | Speech-Language Pathologist | 1266 HIGHWAY 515 S JASPER, GA 30143 (706) 692-9016 |
| 1598116790 | ERIN EGNOSKI PA-C Individual | Physician Assistant (Medical) | 1266 HIGHWAY 515 S JASPER, GA 30143 (706) 692-2441 |
| 1992538870 | GLENDA KATLIN MICHELLE MILLER Individual | Registered Nurse (Obstetric, Inpatient) | 1266 HIGHWAY 515 S JASPER, GA 30143 (706) 301-5246 |
| 1427866508 | ZAKARY PREM Individual | Emergency Medical Technician, Paramedic | 1266 HIGHWAY 515 S JASPER, GA 30143 (706) 692-2441 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699290510, enumerated in the NPI registry as an "organization" on August 11, 2017
The provider is located at 1266 Highway 515 S Jasper, Ga 30143 and the phone number is (770) 801-2500
This medical organization specializes in Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 11D0970184 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 August 11, 2017. 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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