ROSWELL PAIN SURGICAL CENTER
NPI 1912388976
Clinic/Center - Ambulatory Surgical in Roswell, GA
NPI Status: Active since June 16, 2015
Contact Information
1300 UPPER HEMBREE RD
SUITE B
ROSWELL, GA
ZIP 30076
Phone: (678) 736-7680
Fax: (888) 537-5362
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 11D2044488
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-28-2025
About ROSWELL PAIN SURGICAL CENTER
This page provides the complete NPI Profile along with additional information for Roswell Pain Surgical Center, a provider established in Roswell, Georgia operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1912388976 assigned on June 2015. The practitioner's primary taxonomy code is 261QA1903X. 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 Dr. Damon Christian Kimes Sr. Md (Owner)
- NPI
- 1912388976
- Provider Name
- ROSWELL PAIN SURGICAL CENTER
- Entity Type
- Organization
- Location Address
- 1300 UPPER HEMBREE RD SUITE B ROSWELL, GA 30076
- Location Phone
- (678) 736-7680
- Location Fax
- (888) 537-5362
- Mailing Address
- 1300 UPPER HEMBREE RD SUITE B ROSWELL, GA 30076
- Mailing Phone
- (678) 736-7680
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-16-2015
- Last Update Date
- 06-16-2015
- 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 Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
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
- 11D2044488
- Facility Type
- Physician Office
- Certificate Effective Date
- July 29, 2023
- Certificate Expiration Date
- July 28, 2025
- Laboratory Director
- JOE N. OWENS
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Roswell Pain Surgical Center after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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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 | 8 | 8 | 9 | 7 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 2 | 2 | 6 | 8 | 16 | 9 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 2 + 2 + 6 + 8 + 1 + 6 + 9 + 1 + 4 + 24 = 74 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 74 = 6 | 6 | ||||||||
The NPI number 1912388976 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1841474707 | NORTH FULTON RHEUMATOLOGY Organization | Specialist | 1300 UPPER HEMBREE RD BLD# 100, SUITE #A ROSWELL, GA 30076 (770) 619-0004 |
| 1710121025 | SABRINA D. HARRISON, M.D., P.C. Organization | Obstetrics & Gynecology | 1300 UPPER HEMBREE RD BLDG 100, STE D ROSWELL, GA 30076 (404) 520-3330 |
| 1437493681 | INNOVATIVE AMBULATORY SURGERY CENTER Organization | Clinic/Center (Pain) | 1300 UPPER HEMBREE RD BUILDING 100, SUITE B ROSWELL, GA 30076 (888) 232-8724 |
| 1982948139 | INNOVATIVE PAIN MANAGEMENT CENTER LLC Organization | Anesthesiology (Pain Medicine) | 1300 UPPER HEMBREE RD BUILDING 100, SUITE B ROSWELL, GA 30076 (770) 817-7951 |
| 1285805713 | DR. OSCAR JAMESON STOKES M.D., M.B.A. Individual | General Practice | 1300 UPPER HEMBREE RD BUILDING 100, SUITE B ROSWELL, GA 30076 (770) 817-7951 |
| 1104803915 | MS. SHELLEY MONIQUE DUNSON-ALLEN M.D. Individual | Specialist | 1300 UPPER HEMBREE RD BUILDING 100, SUITE D ROSWELL, GA 30076 (770) 670-6170 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912388976, enumerated in the NPI registry as an "organization" on June 16, 2015
The provider is located at 1300 Upper Hembree Rd Suite B Roswell, Ga 30076 and the phone number is (678) 736-7680
This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical
The provider's CLIA number is 11D2044488 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on June 16, 2015. 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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