COVID COMMUNITY TESTING LLC
NPI 1972112795
Clinic/Center - Emergency Care in Peachtree City, GA

NPI Status: Active since July 28, 2020

Contact Information

1000 COMMERCE DR STE 400
PEACHTREE CITY, GA
ZIP 30269
Phone: (678) 364-8404
Fax: (678) 545-0146

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  • Organization
  • Clinic/Center
  • Emergency Care

About COVID COMMUNITY TESTING LLC

This page provides the complete NPI Profile along with additional information for Covid Community Testing Llc, a provider established in Peachtree City, Georgia operating as a Clinic/center, focusing in emergency care . The healthcare provider is registered in the NPI registry with number 1972112795 assigned on July 2020. The practitioner's primary taxonomy code is 261QE0002X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Jamie W Walraven Md (Md)

NPI
1972112795
Provider Name
COVID COMMUNITY TESTING LLC
Entity Type
Organization
Location Address
1000 COMMERCE DR STE 400 PEACHTREE CITY, GA 30269
Location Phone
(678) 364-8404
Location Fax
(678) 545-0146
Mailing Address
1000 COMMERCE DR STE 400 PEACHTREE CITY, GA 30269
Mailing Phone
(678) 364-8404
Mailing Fax
(678) 545-0146
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-28-2020
Last Update Date
02-19-2021
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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 Emergency Care

Taxonomy Code
261QE0002X
Type
Ambulatory Health Care Facilities

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

JAMIE W WALRAVEN MD

Authorized Official Title
MD
Authorized Official Phone
(678) 364-8414

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
4026OTHER (01)GAMEDICARE - 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.
1972112795
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29142214718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 4 + 2 + 2 + 1 + 4 + 7 + 1 + 8 + 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 = 55

The NPI number 1972112795 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972112795, enumerated in the NPI registry as an "organization" on July 28, 2020

The provider is located at 1000 Commerce Dr Ste 400 Peachtree City, Ga 30269 and the phone number is (678) 364-8404

This medical organization specializes in Clinic/Center with taxonomy code 261QE0002X with a focus in Emergency Care

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 July 28, 2020. 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.