ELBERTON WOMEN'S SPECIALIST, LLC
NPI 1740372598
Obstetrics & Gynecology - Gynecology in Elberton, GA

NPI Status: Active since September 29, 2006

Contact Information

41 CHESTNUT ST
THIRD FLOOR
ELBERTON, GA
ZIP 30635
Phone: (706) 213-1688
Fax: (706) 213-1690

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  • Organization
  • Obstetrics & Gynecology
  • Gynecology
  • CLIA Number: 11D0725548
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 08-31-2026

About ELBERTON WOMEN'S SPECIALIST, LLC

This page provides the complete NPI Profile along with additional information for Elberton Women's Specialist, Llc, a women's health care provider established in Elberton, Georgia operating as a Obstetrics & Gynecology, focusing in gynecology . The healthcare provider is registered in the NPI registry with number 1740372598 assigned on September 2006. The practitioner's primary taxonomy code is 207VG0400X with license number 024820 (GA). The provider is registered as an organization and their NPI record was last updated 5 years 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. David Michael Hagins M.d. (Owner)

NPI
1740372598
Provider Name
ELBERTON WOMEN'S SPECIALIST, LLC
Entity Type
Organization
Location Address
41 CHESTNUT ST THIRD FLOOR ELBERTON, GA 30635
Location Phone
(706) 213-1688
Location Fax
(706) 213-1690
Mailing Address
41 CHESTNUT ST THIRD FLOOR ELBERTON, GA 30635
Mailing Phone
(706) 213-1688
Mailing Fax
(706) 213-1690
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-29-2006
Last Update Date
08-22-2020
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Women's health care providers like Elberton Women's Specialist, Llc treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, 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

Obstetrics & Gynecology Gynecology

Taxonomy Code
207VG0400X
Type
Allopathic & Osteopathic Physicians
License No.
024820
License State
GA
Taxonomy Description
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

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.

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. DAVID MICHAEL HAGINS M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(706) 213-1688

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
11D0725548
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
EMAD AHMED
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Elberton Women's Specialist, 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.
1740372598
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2780674518
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 8 + 0 + 6 + 7 + 4 + 5 + 1 + 8 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1740372598 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1124079835DR. DAVID MICHAEL HAGINS M.D.
Individual
Specialist41 CHESTNUT ST 3RD FLOOR
ELBERTON, GA 30635
(706) 213-1688
1790830578LARRY R. HART, M.D., L.L.C.
Organization
General Practice41 CHESTNUT ST
ELBERTON, GA 30635
(706) 283-1914

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740372598, enumerated in the NPI registry as an "organization" on September 29, 2006

The provider is located at 41 Chestnut St Third Floor Elberton, Ga 30635 and the phone number is (706) 213-1688

This medical organization specializes in Obstetrics & Gynecology with taxonomy code 207VG0400X with a focus in Gynecology

The provider's CLIA number is 11D0725548 for a "end stage renal disease dialysis facility" 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 September 29, 2006. 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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