SOUTHWEST MEDICAL CLINIC, INC
NPI 1750593430
Internal Medicine in Woodbury, GA
NPI Status: Active since May 04, 2007
Contact Information
64 JONES MILL ROAD
SUITE B BOX 517
WOODBURY, GA
ZIP 30293
Phone: (706) 553-3270
- Organization
- Internal Medicine
About SOUTHWEST MEDICAL CLINIC, INC
This page provides the complete NPI Profile along with additional information for Southwest Medical Clinic, Inc, an internist established in Woodbury, Georgia operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1750593430 assigned on May 2007. The practitioner's primary taxonomy code is 207R00000X with license number 042618 (GA). The provider is registered as an organization and their NPI record was last updated 15 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. Obinna B Ubani-ebere Ph.d. (Practice Administrator)
- NPI
- 1750593430
- Provider Name
- SOUTHWEST MEDICAL CLINIC, INC
- Entity Type
- Organization
- Location Address
- 64 JONES MILL ROAD SUITE B BOX 517 WOODBURY, GA 30293
- Location Phone
- (706) 553-3270
- Mailing Address
- PO BOX 517 64B JONES MILL ROAD WOODBURY, GA 30293
- Mailing Phone
- (706) 553-3270
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-04-2007
- Last Update Date
- 02-12-2010
- Code Navigator
An internist like Southwest Medical Clinic, Inc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 042618
- License State
- GA
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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.
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.
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 |
|---|---|---|---|
| GRP6433 | MEDICARE ID-TYPE UNSPECIFIED (04) | GA | |
| 000719947AG | MEDICAID (05) | GA | |
| F87217 | MEDICARE UPIN (02) | 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. | |||||||||
| 1 | 7 | 5 | 0 | 5 | 9 | 3 | 4 | 3 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 10 | 9 | 6 | 4 | 6 | |
| 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 + 9 + 6 + 4 + 6 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1750593430 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750593430, enumerated in the NPI registry as an "organization" on May 04, 2007
The provider is located at 64 Jones Mill Road Suite B Box 517 Woodbury, Ga 30293 and the phone number is (706) 553-3270
This medical organization specializes in Internal Medicine with taxonomy code 207R00000X
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 May 04, 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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