RIVER PARC INTERNAL MEDICINE
NPI 1912366931
Clinic/Center in Duluth, GA
NPI Status: Active since February 18, 2016
Contact Information
4855 RIVER GREEN PKWY STE 140
DULUTH, GA
ZIP 30096
Phone: (678) 417-0077
Fax: (678) 417-0337
- Organization
- Clinic/Center
- CLIA Number: 11D1050147
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-25-2026
About RIVER PARC INTERNAL MEDICINE
This page provides the complete NPI Profile along with additional information for River Parc Internal Medicine, a provider established in Duluth, Georgia operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1912366931 assigned on February 2016. The practitioner's primary taxonomy code is 261Q00000X with license number RN193179 (GA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Young Kang M.d (Md)
- NPI
- 1912366931
- Provider Name
- RIVER PARC INTERNAL MEDICINE
- Entity Type
- Organization
- Location Address
- 4855 RIVER GREEN PKWY STE 140 DULUTH, GA 30096
- Location Phone
- (678) 417-0077
- Location Fax
- (678) 417-0337
- Mailing Address
- 4855 RIVER GREEN PKWY STE 140 DULUTH, GA 30096
- Mailing Phone
- (678) 417-0077
- Mailing Fax
- (678) 417-0337
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-18-2016
- Last Update Date
- 02-18-2016
- Code Navigator
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
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- RN193179
- 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).
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D1050147
- Facility Type
- Physician Office
- Certificate Effective Date
- January 26, 2024
- Certificate Expiration Date
- January 25, 2026
- Laboratory Director
- YOUNG W. KANG
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to River Parc Internal Medicine to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 | 9 | 1 | 2 | 3 | 6 | 6 | 9 | 3 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 2 | 2 | 6 | 6 | 12 | 9 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 2 + 2 + 6 + 6 + 1 + 2 + 9 + 6 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1912366931 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1811946866 | YOUNG WON KANG MD Individual | Internal Medicine (Adolescent Medicine) | 4855 RIVER GREEN PKWY STE 140 DULUTH, GA 30096 (678) 417-0077 |
| 1689446577 | RUTH SOK Individual | Nurse Practitioner (Family) | 4855 RIVER GREEN PKWY STE 140 DULUTH, GA 30096 (678) 417-0077 |
| 1447016795 | ANNY PARK MSN, APRN, FNP-C Individual | Nurse Practitioner (Family) | 4855 RIVER GREEN PKWY STE 140 DULUTH, GA 30096 (678) 417-0077 |
| 1750763173 | EMILY MIMI KANG Individual | Internal Medicine | 4855 RIVER GREEN PKWY STE 140 DULUTH, GA 30096 (678) 417-0077 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912366931, enumerated in the NPI registry as an "organization" on February 18, 2016
The provider is located at 4855 River Green Pkwy Ste 140 Duluth, Ga 30096 and the phone number is (678) 417-0077
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
The provider's CLIA number is 11D1050147 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on February 18, 2016. 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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