26KC CENTER FOR FAMILY MEDICINE
NPI 1790974293
Clinic/Center in Rincon, GA

NPI Status: Active since October 20, 2007

Contact Information

800 TOWNE PARK DR
SUIT 400,
RINCON, GA
ZIP 31326
Phone: (912) 826-3373

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  • Organization
  • Clinic/Center

About 26KC CENTER FOR FAMILY MEDICINE

This page provides the complete NPI Profile along with additional information for 26kc Center For Family Medicine, a provider established in Rincon, Georgia operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1790974293 assigned on October 2007. The practitioner's primary taxonomy code is 261Q00000X with license number 50331 (GA). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Dr. Kennedy Kelechi Okere Md (Medical Director)

NPI
1790974293
Provider Name
26KC CENTER FOR FAMILY MEDICINE
Entity Type
Organization
Location Address
800 TOWNE PARK DR SUIT 400, RINCON, GA 31326
Location Phone
(912) 826-3373
Mailing Address
800 TOWNE PARK DR SUIT 400, P.O .BOX 1599 RINCON, GA 31326
Mailing Phone
(912) 308-8799
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-20-2007
Last Update Date
10-25-2009
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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
License No.
50331
License State
GA
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).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QP2300XAmbulatory Health Care Facilities

Clinic/Center
Primary Care

50331 (GA)

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

DR. KENNEDY KELECHI OKERE MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(912) 826-3373

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
H51267MEDICARE UPIN (02)GA 
511I080090MEDICARE PIN (08)GA 
000923062EMEDICAID (05)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.
1790974293
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271801878218
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 1 + 8 + 7 + 8 + 2 + 1 + 8 + 24 = 77
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 77 = 33

The NPI number 1790974293 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174509145DR. WILLERT HOWARD LYNN III MD
Individual
Family Medicine800 TOWNE PARK DR SUITE 400
RINCON, GA 31326
(912) 826-1220
1104123371 ANNA LEE BANISTER ANP-BC
Individual
Nurse Practitioner (Adult Health)800 TOWNE PARK DR
RINCON, GA 31326
(912) 826-0052
1689338287 DEANNA E MCQUEEN
Individual
Behavior Technician800 TOWNE PARK DR
RINCON, GA 31326
(912) 556-0101
1730831322 ALEXXUS D WALKER
Individual
Behavior Technician800 TOWNE PARK DR
RINCON, GA 31326
(912) 295-5317
1083369474 JESSICA R MILLER
Individual
Behavior Technician800 TOWNE PARK DR
RINCON, GA 31326
(912) 556-0101
1033852991 MELODY A PRESSON
Individual
Behavior Technician800 TOWNE PARK DR
RINCON, GA 31326
(912) 556-0101
1639809122 ANNA S HALL
Individual
Behavior Technician800 TOWNE PARK DR
RINCON, GA 31326
(912) 295-5317
1174243166 KIMBERLEY S KEOUGH
Individual
Behavior Technician800 TOWNE PARK DR
RINCON, GA 31326
(912) 556-0101
1457823270 WILLIAM AUTRY BCBA
Individual
Behavior Analyst800 TOWNE PARK DR
RINCON, GA 31326
(912) 556-0101
1568187631 LAKESHIA M ALSTON-MUNGIN
Individual
Behavior Technician800 TOWNE PARK DR
RINCON, GA 31326
(912) 556-0101
1174306161 THOMAS A PRESSON
Individual
Behavior Technician800 TOWNE PARK DR
RINCON, GA 31326
(912) 556-0101
1821871807 VICTORIA J DOSTER
Individual
Behavior Technician800 TOWNE PARK DR
RINCON, GA 31326
(912) 556-0101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790974293, enumerated in the NPI registry as an "organization" on October 20, 2007

The provider is located at 800 Towne Park Dr Suit 400, Rincon, Ga 31326 and the phone number is (912) 826-3373

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

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 October 20, 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.