POLK MEDICAL CENTER
NPI 1932153475
General Acute Care Hospital - Critical Access in Cedartown, GA
NPI Status: Active since May 20, 2006
Contact Information
424 N MAIN ST
CEDARTOWN, GA
ZIP 30125
Phone: (770) 748-2500
Fax: (770) 749-9904
- Organization
- General Acute Care Hospital
- Critical Access
- CLIA Number: 11D0670518
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 01-02-2027
About POLK MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Polk Medical Center, a provider established in Cedartown, Georgia operating as a General Acute Care Hospital, focusing in critical access . The healthcare provider is registered in the NPI registry with number 1932153475 assigned on May 2006. The practitioner's primary taxonomy code is 282NC0060X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Polk Medical Center. The authorized official of this NPI record is Tim Prestridge (Cfo)
- NPI
- 1932153475
- Provider Legal Name
- COLUMBIA POLK GENERAL HOSPITAL, INC.
- Other Organization Name
- POLK MEDICAL CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 424 N MAIN ST CEDARTOWN, GA 30125
- Location Phone
- (770) 748-2500
- Location Fax
- (770) 749-9904
- Mailing Address
- 424 N MAIN ST CEDARTOWN, GA 30125
- Mailing Phone
- (770) 748-2500
- Mailing Fax
- (770) 749-9904
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-20-2006
- Last Update Date
- 08-22-2020
- 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
General Acute Care Hospital Critical Access
- Taxonomy Code
- 282NC0060X
- Type
- Hospitals
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.
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 |
|---|---|---|---|
| 6851 | OTHER (01) | TN | BLUECARE |
| 3124 | OTHER (01) | GA | BLUE CROSS |
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
- 11D0670518
- Facility Type
- Hospital
- Certificate Effective Date
- January 03, 2025
- Certificate Expiration Date
- January 02, 2027
- Laboratory Director
- DR. CHRISTOPHER J. KLIGORA
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Polk Medical Center on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
Reviews for POLK MEDICAL CENTER
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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 | 3 | 2 | 1 | 5 | 3 | 4 | 7 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 6 | 2 | 2 | 5 | 6 | 4 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 6 + 2 + 2 + 5 + 6 + 4 + 1 + 4 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1932153475 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1952343253 | NORBERTO ROSADO MD Individual | Emergency Medicine | 424 N MAIN ST CEDARTOWN, GA 30125 (770) 748-2500 |
| 1053356030 | MICHAEL C GADDY MD Individual | Emergency Medicine | 424 N MAIN ST CEDARTOWN, GA 30125 (770) 748-2500 |
| 1427082494 | DR. LEWIS ROSS WHATLEY III MD Individual | Radiology (Diagnostic Radiology) | 424 N MAIN ST CEDARTOWN, GA 30125 (770) 748-2500 |
| 1134494776 | HOSPITAL AUTHORITY OF FLOYD COUNTY Organization | General Acute Care Hospital (Critical Access) | 424 N MAIN ST CEDARTOWN, GA 30125 (770) 748-2500 |
| 1184062572 | CHERRY LEE TISON APRN Individual | Nurse Practitioner (Acute Care) | 424 N MAIN ST CEDARTOWN, GA 30125 (770) 748-2500 |
| 1174567168 | KENNETH WAYNE JONES JR MD Individual | Emergency Medicine | 424 N MAIN ST CEDARTOWN, GA 30125 (770) 748-2500 |
| 1063886232 | MRS. RONNI MICHELLE HEARD Individual | Day Training/Habilitation Specialist | 424 N MAIN ST CEDARTOWN, GA 30125 (770) 749-2229 |
| 1164896320 | SHARON CROWDER Individual | Day Training/Habilitation Specialist | 424 N MAIN ST CEDARTOWN, GA 30125 (770) 748-2229 |
| 1811361082 | ANDREA BARRENTINE Individual | Day Training/Habilitation Specialist | 424 N MAIN ST CEDARTOWN, GA 30125 (770) 749-2229 |
| 1801260062 | MS. ROBIN DESHONE MOORE Individual | Day Training/Habilitation Specialist | 424 N MAIN ST CEDARTOWN, GA 30125 (770) 749-2229 |
| 1497129647 | CHARITY PRATER Individual | Day Training/Habilitation Specialist | 424 N MAIN ST CEDARTOWN, GA 30125 (770) 749-2229 |
| 1851765010 | PAULA LANGE Individual | Day Training/Habilitation Specialist | 424 N MAIN ST CEDARTOWN, GA 30125 (770) 749-2229 |
| 1548634702 | JANET PRATER Individual | Day Training/Habilitation Specialist | 424 N MAIN ST CEDARTOWN, GA 30125 (770) 749-2229 |
| 1275907438 | CLARISSA GIBSON Individual | Day Training/Habilitation Specialist | 424 N MAIN ST CEDARTOWN, GA 30125 (770) 749-2229 |
| 1831563014 | HEATHER LEANN PARKER Individual | Day Training/Habilitation Specialist | 424 N MAIN ST CEDARTOWN, GA 30125 (770) 749-2229 |
| 1447625587 | CINDY ROBERSON Individual | Day Training/Habilitation Specialist | 424 N MAIN ST CEDARTOWN, GA 30125 (706) 483-5954 |
| 1013381136 | DONNA TROTTER Individual | Day Training/Habilitation Specialist | 424 N MAIN ST CEDARTOWN, GA 30125 (770) 749-2229 |
| 1073987103 | MICHAEL ATWATER Individual | Day Training/Habilitation Specialist | 424 N MAIN ST CEDARTOWN, GA 30125 (770) 749-2229 |
| 1538534169 | ANGELA WILLIAMS Individual | Case Manager/Care Coordinator | 424 N MAIN ST CEDARTOWN, GA 30125 (770) 749-2229 |
| 1043860398 | LORRAINE LOUISE KENNEDY Individual | Technician (Personal Care Attendant) | 424 N MAIN ST CEDARTOWN, GA 30125 (770) 749-2229 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932153475, enumerated in the NPI registry as an "organization" on May 20, 2006
The provider is located at 424 N Main St Cedartown, Ga 30125 and the phone number is (770) 748-2500
This medical organization specializes in General Acute Care Hospital with taxonomy code 282NC0060X with a focus in Critical Access
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 11D0670518 for a "hospital" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on May 20, 2006. 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.