EAST TEEN CENTER
NPI 1750488052
Public Health or Welfare in Lithonia, GA

NPI Status: Active since September 20, 2006

Contact Information

2612 MAX CLELAND BLVD STE A
LITHONIA, GA
ZIP 30058
Phone: (678) 526-5429
Fax: (678) 526-5434

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  • Organization
  • Public Health or Welfare

About EAST TEEN CENTER

This page provides the complete NPI Profile along with additional information for East Teen Center, a provider established in Lithonia, Georgia operating as a Public Health Or Welfare. The healthcare provider is registered in the NPI registry with number 1750488052 assigned on September 2006. The practitioner's primary taxonomy code is 251K00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's other name is East Teen Center. The authorized official of this NPI record is Sandra E Bouchelion Md (District Director/ceo)

NPI
1750488052
Provider Legal Name
DEKALB COUNTY BOARD OF HEALTH
Other Organization Name
EAST TEEN CENTER
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
2612 MAX CLELAND BLVD STE A LITHONIA, GA 30058
Location Phone
(678) 526-5429
Location Fax
(678) 526-5434
Mailing Address
445 WINN WAY PO BOX 987 DECATUR, GA 30030
Mailing Phone
(404) 294-3701
Mailing Fax
(678) 526-5434
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-20-2006
Last Update Date
08-22-2020
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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

Public Health or Welfare

Taxonomy Code
251K00000X
Type
Agencies

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

SANDRA E BOUCHELION MD

Authorized Official Title
DISTRICT DIRECTOR/CEO
Authorized Official Phone
(404) 294-3787

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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.
1750488052
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271008816010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 8 + 8 + 1 + 6 + 0 + 1 + 0 + 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 1750488052 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 provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1982789293 CINDY JO-ANN BOWEN NP
Individual
Nurse Practitioner2612 MAX CLELAND BLVD STE A
LITHONIA, GA 30058
(678) 526-5429

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750488052, enumerated in the NPI registry as an "organization" on September 20, 2006

The provider is located at 2612 Max Cleland Blvd Ste A Lithonia, Ga 30058 and the phone number is (678) 526-5429

This medical organization specializes in Public Health or Welfare with taxonomy code 251K00000X

This NPI record was last updated on September 20, 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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