PLASTIC SURGERY CENTER OF WEST GEORGIA, LLC
NPI 1952391591
Clinic/Center - Ambulatory Surgical in Carrollton, GA
NPI Status: Active since October 25, 2005
Contact Information
150 HENRY BURSON AVE
SUITE 200
CARROLLTON, GA
ZIP 30117
Phone: (770) 834-6302
Fax: (770) 834-7660
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 11D2278592
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 03-20-2025
About PLASTIC SURGERY CENTER OF WEST GEORGIA, LLC
This page provides the complete NPI Profile along with additional information for Plastic Surgery Center Of West Georgia, Llc, a provider established in Carrollton, Georgia operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1952391591 assigned on October 2005. The practitioner's primary taxonomy code is 261QA1903X with license number 030330 (GA). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Plastic Surgery Center Of West Georgia, Llc. The authorized official of this NPI record is Dr. Stephen Housman Kahler M.d. (Principal Officer)
- NPI
- 1952391591
- Provider Legal Name
- WEST GEORGIA CENTER FOR PLASTIC SURGERY, LLC
- Other Organization Name
- PLASTIC SURGERY CENTER OF WEST GEORGIA, LLC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 150 HENRY BURSON AVE SUITE 200 CARROLLTON, GA 30117
- Location Phone
- (770) 834-6302
- Location Fax
- (770) 834-7660
- Mailing Address
- 150 HENRY BURSON AVE SUITE 200 CARROLLTON, GA 30117
- Mailing Phone
- (770) 834-6302
- Mailing Fax
- (770) 834-7660
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-25-2005
- Last Update Date
- 09-21-2010
- 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
- License No.
- 030330
- License State
- 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.
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 |
|---|---|---|---|
| 0007430251 | OTHER (01) | GA | AETNA |
| R566 | OTHER (01) | GA | COMMERCIAL INS./AMERIHEAL |
| 24BCBQZ | MEDICARE ID-TYPE UNSPECIFIED (04) | GA |
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
- 11D2278592
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- March 21, 2023
- Certificate Expiration Date
- March 20, 2025
- Laboratory Director
- SAMANTHA G. HAMMOND
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Plastic Surgery Center Of West Georgia, Llc 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 | 5 | 2 | 3 | 9 | 1 | 5 | 9 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 10 | 2 | 6 | 9 | 2 | 5 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 0 + 2 + 6 + 9 + 2 + 5 + 1 + 8 + 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 1952391591 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 |
|---|---|---|---|
| 1497897474 | PLASTIC SURGERY CENTER OF WEST GEORGIA Organization | Clinic/Center (Ambulatory Surgical) | 150 HENRY BURSON AVE SUITE 200 CARROLLTON, GA 30117 (770) 834-6302 |
| 1841315223 | MRS. JULIE DORSCH WEBER FNP-C Individual | Nurse Practitioner (Family) | 150 HENRY BURSON AVE SUITE 200 CARROLLTON, GA 30117 (770) 834-6302 |
| 1033381777 | EMILY HOPE TURNEY M.D. Individual | Obstetrics & Gynecology (Obstetrics) | 150 HENRY BURSON AVE SUITE 215 CARROLLTON, GA 30117 (770) 214-2121 |
| 1023008794 | STEPHEN HOUSMAN KAHLER M.D. Individual | Surgery (Plastic and Reconstructive Surgery) | 150 HENRY BURSON AVE SUITE 200 CARROLLTON, GA 30117 (770) 834-6302 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1952391591, enumerated in the NPI registry as an "organization" on October 25, 2005
The provider is located at 150 Henry Burson Ave Suite 200 Carrollton, Ga 30117 and the phone number is (770) 834-6302
This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical
The provider might be accepting Accepts: Aetna, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 11D2278592 for a "ambulatory surgery center" 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 October 25, 2005. 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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