REGENCY HOSPITAL OF SOUTH ATLANTA
NPI 1750383584
Long Term Care Hospital in East Point, GA

NPI Status: Active since August 11, 2005

Contact Information

1170 CLEVELAND AVE
SUITE 217
EAST POINT, GA
ZIP 30344
Phone: (404) 466-6250
Fax: (404) 466-6267

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  • Organization
  • Long Term Care Hospital

About REGENCY HOSPITAL OF SOUTH ATLANTA

This page provides the complete NPI Profile along with additional information for Regency Hospital Of South Atlanta, a provider established in East Point, Georgia operating as a Long Term Care Hospital. The healthcare provider is registered in the NPI registry with number 1750383584 assigned on August 2005. The practitioner's primary taxonomy code is 282E00000X with license number HOSPL0190 (GA). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Regency Hospital Of South Atlanta. The authorized official of this NPI record is Mr. Michael Tarvin (Vice President)

NPI
1750383584
Provider Legal Name
REGENCY HOSPITAL COMPANY OF SOUTH ATLANTA, LLC
Other Organization Name
REGENCY HOSPITAL OF SOUTH ATLANTA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1170 CLEVELAND AVE SUITE 217 EAST POINT, GA 30344
Location Phone
(404) 466-6250
Location Fax
(404) 466-6267
Mailing Address
4714 GETTYSBURG RD LEGAL DPT MECHANICSBURG, PA 17055
Mailing Phone
(717) 972-1100
Mailing Fax
(404) 466-6267
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-11-2005
Last Update Date
09-20-2010
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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

Long Term Care Hospital

Taxonomy Code
282E00000X
Type
Hospitals
License No.
HOSPL0190
License State
GA
Taxonomy Description
Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

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.

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

MR. MICHAEL TARVIN

Authorized Official Title
VICE PRESIDENT
Authorized Official Phone
(717) 972-1100

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
112014MEDICARE OSCAR/CERTIFICATION (06)GA 

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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.
1750383584
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27100686516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 6 + 8 + 6 + 5 + 1 + 6 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1750383584 is valid because the calculated check digit 4 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
1992792741 ROSE M. SYNSMIR CRNA
Individual
Nurse Anesthetist, Certified Registered1170 CLEVELAND AVE ANESTHESIA DEPARTMENT
EAST POINT, GA 30344
(770) 466-1700
1194702266 WILLIAM H WRIGHT JR. MD
Individual
Radiology (Diagnostic Radiology)1170 CLEVELAND AVE C/O RADIOLOGY DEPT
EAST POINT, GA 30344
(404) 466-1508
1861468852 DONALD M DURRETT MD
Individual
Radiology (Diagnostic Radiology)1170 CLEVELAND AVE
EAST POINT, GA 30344
(404) 305-3500
1588631774 GAIL L PETERS MD
Individual
Radiology (Diagnostic Radiology)1170 CLEVELAND AVE
EAST POINT, GA 30344
(404) 305-3500
1700854734 IRWIN M BEST MD
Individual
Surgery1170 CLEVELAND AVE
EAST POINT, GA 30344
(404) 305-3500
1891763736 LOUIS G MARTIN MD
Individual
Radiology (Diagnostic Radiology)1170 CLEVELAND AVE
EAST POINT, GA 30344
(404) 305-3500
1346218021 LARRY W. MOREHEAD MD
Individual
Anesthesiology1170 CLEVELAND AVE ANESTHESIA DEPT.
EAST POINT, GA 30344
(404) 466-1700
1003884438 JULIET A. GUMBS CRNA
Individual
Nurse Anesthetist, Certified Registered1170 CLEVELAND AVE ANESTHESIA DEPT.
EAST POINT, GA 30344
(404) 466-1700
1346218633 CARLOS R. ROMAN MD
Individual
Anesthesiology1170 CLEVELAND AVE ANESTHESIA DEPT.
EAST POINT, GA 30344
(404) 466-1700
1023086394 SEKETHIA L MCDONALD MD
Individual
Anesthesiology1170 CLEVELAND AVE ANESTHESIA DEPT.
EAST POINT, GA 30344
(404) 466-1700
1508829375 MALCOLM D JOEL MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1170 CLEVELAND AVE PATHOLOGY DEPT
EAST POINT, GA 30344
(404) 305-4285
1376509695 AMIR HAMMAMI MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1170 CLEVELAND AVE PATHOLOGY DEPT
EAST POINT, GA 30344
(404) 466-1416
1790734309 KARIM B GODAMUNNE MD
Individual
Internal Medicine1170 CLEVELAND AVE
EAST POINT, GA 30344
(404) 466-1034
1124074513DR. LEGESSE F. TEBEJE M.D.
Individual
Internal Medicine1170 CLEVELAND AVE
EAST POINT, GA 30344
(404) 466-1170
1568495596 TRAVIS K JASPER MD
Individual
Emergency Medicine1170 CLEVELAND AVE
EAST POINT, GA 30344
(404) 466-1170
1902901887MR. ANDY LAFONTANT PA-C
Individual
Physician Assistant1170 CLEVELAND AVE
EAST POINT, GA 30344
(404) 466-1654
1720187701 HOWARD PETERS
Individual
Emergency Medicine1170 CLEVELAND AVE
EAST POINT, GA 30344
(404) 466-1170
1861560021MISS DAWN CAMILLE FERGUSON M.D.
Individual
Rehabilitation Practitioner1170 CLEVELAND AVE
EAST POINT, GA 30344
(404) 466-8405
1437290236MRS. JULIE MAIER LUCAS CRNA
Individual
Nurse Anesthetist, Certified Registered1170 CLEVELAND AVE
EAST POINT, GA 30344
(404) 466-1700
1427171354MISS IFE J CAULEY RRT
Individual
Respiratory Therapist, Registered1170 CLEVELAND AVE
EAST POINT, GA 30344
(404) 466-1094

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750383584, enumerated in the NPI registry as an "organization" on August 11, 2005

The provider is located at 1170 Cleveland Ave Suite 217 East Point, Ga 30344 and the phone number is (404) 466-6250

This medical organization specializes in Long Term Care Hospital with taxonomy code 282E00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 11, 2005. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.