PERISSEIA PHYSICIANS, LLC
NPI 1992868855
Legal Medicine in Lawrenceville, GA
NPI Status: Active since December 19, 2006
Contact Information
1655 LEBANON RD
STE A
LAWRENCEVILLE, GA
ZIP 30043
Phone: (770) 682-2024
Fax: (770) 682-2034
- Organization
- Legal Medicine
- CLIA Number: 11D0256595
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-13-2026
About PERISSEIA PHYSICIANS, LLC
This page provides the complete NPI Profile along with additional information for Perisseia Physicians, Llc, a provider established in Lawrenceville, Georgia operating as a Legal Medicine. The healthcare provider is registered in the NPI registry with number 1992868855 assigned on December 2006. The practitioner's primary taxonomy code is 173000000X with license number 029703 (GA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. David W. Kunz M.d. (Managing Member)
- NPI
- 1992868855
- Provider Name
- PERISSEIA PHYSICIANS, LLC
- Entity Type
- Organization
- Location Address
- 1655 LEBANON RD STE A LAWRENCEVILLE, GA 30043
- Location Phone
- (770) 682-2024
- Location Fax
- (770) 682-2034
- Mailing Address
- 1655 LEBANON RD STE A LAWRENCEVILLE, GA 30043
- Mailing Phone
- (770) 682-2024
- Mailing Fax
- (770) 682-2034
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-19-2006
- 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
Legal Medicine
- Taxonomy Code
- 173000000X
- Type
- Other Service Providers
- License No.
- 029703
- License State
- GA
- Taxonomy Description
- The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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
- 11D0256595
- Facility Type
- Physician Office
- Certificate Effective Date
- February 14, 2024
- Certificate Expiration Date
- February 13, 2026
- Laboratory Director
- DAVID W. KUNZ
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Perisseia Physicians, 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 | 9 | 2 | 8 | 6 | 8 | 8 | 5 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 18 | 2 | 16 | 6 | 16 | 8 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 8 + 2 + 1 + 6 + 6 + 1 + 6 + 8 + 1 + 0 + 24 = 75 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 75 = 5 | 5 | ||||||||
The NPI number 1992868855 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 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1144523325 | MS. CAROLINE ASHLEY WALKER PA-C Individual | Physician Assistant | 1655 LEBANON RD SUITE A LAWRENCEVILLE, GA 30043 (770) 682-2024 |
| 1952363194 | DR. DAVID W KUNZ MD Individual | Family Medicine | 1655 LEBANON RD STE A LAWRENCEVILLE, GA 30043 (770) 682-2024 |
| 1114331881 | AVID COMPANIES Organization | Family Medicine | 1655 LEBANON RD SUITE C LAWRENCEVILLE, GA 30043 (678) 956-1006 |
| 1669802963 | MELISSA S JONES PA-C Individual | Physician Assistant (Medical) | 1655 LEBANON RD SUITE A LAWRENCEVILLE, GA 30043 (770) 682-2024 |
| 1811440522 | WOMEN'S IMAGING SPECIALISTS Organization | Radiology (Diagnostic Radiology) | 1655 LEBANON RD SUITE B LAWRENCEVILLE, GA 30043 (404) 428-6107 |
| 1275198400 | JODENE MARIE NAGEL FNP Individual | Nurse Practitioner (Family) | 1655 LEBANON RD LAWRENCEVILLE, GA 30043 (770) 682-2024 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992868855, enumerated in the NPI registry as an "organization" on December 19, 2006
The provider is located at 1655 Lebanon Rd Ste A Lawrenceville, Ga 30043 and the phone number is (770) 682-2024
This medical organization specializes in Legal Medicine with taxonomy code 173000000X
The provider's CLIA number is 11D0256595 for a "physician office" 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 December 19, 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].
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