BALIGA FAMILY PRACTICE PC
NPI 1700094562
Clinic/Center - Primary Care in Columbus, GA

NPI Status: Active since May 17, 2007

Contact Information

1400 BRADLEY LAKE BLVD
COLUMBUS, GA
ZIP 31904
Phone: (706) 593-7417
Fax: (706) 507-2059

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  • Organization
  • Clinic/Center
  • Primary Care
  • CLIA Number: 11D1069254
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-31-2025

About BALIGA FAMILY PRACTICE PC

This page provides the complete NPI Profile along with additional information for Baliga Family Practice Pc, a primary care provider established in Columbus, Georgia operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1700094562 assigned on May 2007. The practitioner's primary taxonomy code is 261QP2300X with license number 056683 (GA). The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Dr. Bantwal P Baliga M.d (Physician)

NPI
1700094562
Provider Name
BALIGA FAMILY PRACTICE PC
Entity Type
Organization
Location Address
1400 BRADLEY LAKE BLVD COLUMBUS, GA 31904
Location Phone
(706) 593-7417
Location Fax
(706) 507-2059
Mailing Address
1400 BRADLEY LAKE BLVD COLUMBUS, GA 31904
Mailing Phone
(706) 507-2050
Mailing Fax
(706) 507-2059
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-17-2007
Last Update Date
09-13-2022
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A primary care provider (PCP) like Baliga Family Practice Pc 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
License No.
056683
License State
GA

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

DR. BANTWAL P BALIGA M.D

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(706) 507-2050

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
11D1069254
Facility Type
Physician Office
Certificate Effective Date
February 01, 2023
Certificate Expiration Date
January 31, 2025
Laboratory Director
BANTWAL P. BALIGA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Baliga Family Practice Pc 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.
1700094562
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2700098512
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 0 + 0 + 0 + 9 + 8 + 5 + 1 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1700094562 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 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1730272584 BANTWAL PRATHIBHA BALIGA MD,DGO
Individual
Family Medicine1400 BRADLEY LAKE BLVD
COLUMBUS, GA 31904
(706) 507-2050
1154773539MRS. LISA SMITH NP-C
Individual
Nurse Practitioner (Family)1400 BRADLEY LAKE BLVD
COLUMBUS, GA 31904
(706) 256-2525
1164947602MS. SALLIE JEANETTE WACTER FNP-C
Individual
Nurse Practitioner (Family)1400 BRADLEY LAKE BLVD
COLUMBUS, GA 31904
(706) 256-2525
1366604167 MALLIKA THIRUPPATHI M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)1400 BRADLEY LAKE BLVD
COLUMBUS, GA 31904
(334) 737-2737
1902656044MRS. KIMBERLY NICOLE EVANS FNP-BC
Individual
Nurse Practitioner (Family)1400 BRADLEY LAKE BLVD
COLUMBUS, GA 31904
(706) 256-2525

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700094562, enumerated in the NPI registry as an "organization" on May 17, 2007

The provider is located at 1400 Bradley Lake Blvd Columbus, Ga 31904 and the phone number is (706) 593-7417

This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care

The provider's CLIA number is 11D1069254 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 May 17, 2007. 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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