GEORGIA DETOX AND RECOVERY CENTERS, LLC MACON
NPI 1982099693
Substance Abuse Rehabilitation Facility in Macon, GA
NPI Status: Active since March 31, 2015
Contact Information
655 1ST ST
MACON, GA
ZIP 31201
Phone: (561) 868-1607
Fax: (561) 697-4345
- Organization
- Substance Abuse Rehabilitation Facility
- CLIA Number: 11D0662541
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-31-2026
About GEORGIA DETOX AND RECOVERY CENTERS, LLC MACON
This page provides the complete NPI Profile along with additional information for Georgia Detox And Recovery Centers, Llc Macon, a provider established in Macon, Georgia operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1982099693 assigned on March 2015. The practitioner's primary taxonomy code is 324500000X with license number 121-253-D (GA). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Jean Dockery (Director Of Patient Accounts)
- NPI
- 1982099693
- Provider Name
- GEORGIA DETOX AND RECOVERY CENTERS, LLC MACON
- Entity Type
- Organization
- Location Address
- 655 1ST ST MACON, GA 31201
- Location Phone
- (561) 868-1607
- Location Fax
- (561) 697-4345
- Mailing Address
- 2300 WINDY RIDGE PARKWAY SUITE 210 SOUTH ATLANTA, GA 30339
- Mailing Phone
- (561) 868-1607
- Mailing Fax
- (561) 697-4345
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 03-31-2015
- Last Update Date
- 09-08-2017
- 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
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- License No.
- 121-253-D
- License State
- GA
- Taxonomy Description
- A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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
- 11D0662541
- Facility Type
- Physician Office
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- MICHEAL J. PALKO
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Georgia Detox And Recovery Centers, Llc Macon in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate 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 | 8 | 2 | 0 | 9 | 9 | 6 | 9 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 16 | 2 | 0 | 9 | 18 | 6 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 6 + 2 + 0 + 9 + 1 + 8 + 6 + 1 + 8 + 24 = 77 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 77 = 3 | 3 | ||||||||
The NPI number 1982099693 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1801983325 | DR. STEVEN ALAN HOBBS PH.D. Individual | Psychologist (Clinical) | 655 1ST ST MACON, GA 31201 (478) 301-5930 |
| 1427122779 | DR. SONIA R MILES M.D. Individual | Psychiatry & Neurology (Psychiatry) | 655 1ST ST MACON, GA 31201 (478) 301-5930 |
| 1417267360 | MAITRI SURINDER PRAKASH CHAND PHD Individual | Marriage & Family Therapist | 655 1ST ST MACON, GA 31201 (478) 301-5930 |
| 1578771515 | DR. JOSEPH PAUL GALLANT PH.D. Individual | Social Worker (Clinical) | 655 1ST ST MACON, GA 31201 (478) 301-5930 |
| 1003027434 | MICHELLE RENEE BROWN N.P. Individual | Nurse Practitioner | 655 1ST ST MACON, GA 31201 (478) 301-5930 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1982099693, enumerated in the NPI registry as an "organization" on March 31, 2015
The provider is located at 655 1st St Macon, Ga 31201 and the phone number is (561) 868-1607
This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 324500000X
The provider's CLIA number is 11D0662541 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on March 31, 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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