PREMIER MEDICAL GROUP OF COWETA 2LLC
NPI 1750581112
Clinic/Center in Newnan, GA

NPI Status: Active since July 23, 2007

Contact Information

2700 HIGHWAY 34 E BLDG 300
NEWNAN, GA
ZIP 30265
Phone: (404) 943-0205

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  • Organization
  • Clinic/Center

About PREMIER MEDICAL GROUP OF COWETA 2LLC

This page provides the complete NPI Profile along with additional information for Premier Medical Group Of Coweta 2llc, a provider established in Newnan, Georgia operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1750581112 assigned on July 2007. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Alicia Holden Accounting (Lead)

NPI
1750581112
Provider Name
PREMIER MEDICAL GROUP OF COWETA 2LLC
Entity Type
Organization
Location Address
2700 HIGHWAY 34 E BLDG 300 NEWNAN, GA 30265
Location Phone
(404) 943-0205
Mailing Address
PO BOX 468329 ATLANTA, GA 31146
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-23-2007
Last Update Date
07-23-2007
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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

ALICIA HOLDEN ACCOUNTING

Authorized Official Title
LEAD
Authorized Official Phone
(404) 943-0205

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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.
1750581112
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27100108212
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 0 + 8 + 2 + 1 + 2 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1750581112 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 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1578641627 HOLLY HICKS-DERIDDER PA-C
Individual
Physician Assistant (Medical)2700 HIGHWAY 34 E BLDG 300
NEWNAN, GA 30265
(770) 304-0987
1295925402MR. CHRISTOPHER ALLEN STANSELL PA-C
Individual
Physician Assistant2700 HIGHWAY 34 E BLDG 300
NEWNAN, GA 30265
(770) 304-0987

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750581112, enumerated in the NPI registry as an "organization" on July 23, 2007

The provider is located at 2700 Highway 34 E Bldg 300 Newnan, Ga 30265 and the phone number is (404) 943-0205

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

This NPI record was last updated on July 23, 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].
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.