LOCUST GROVE FAMILY MEDICINE
LOCUST GROVE FAMILY MEDICINE is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1629169164, based in Locust Grove, GA. The organization lists 2 taxonomy classifications, with Non-Pharmacy Dispensing Site recorded as primary.
Getting there
The practice address on file is 3778 HIGHWAY 42, Locust Grove, GA 30248. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 053715 | GA | Family Medicine Physician |
| 053715 | GA | Non-Pharmacy Dispensing Site primary |
This provider holds licence 053715 issued in GA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 1052306008
- Enrollment ID
- O20040419000601
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Non-Pharmacy Dispensing Site covers
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) NUCC Health Care Provider Taxonomy, code 332900000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | 053715 | GA | |
| 332900000X | Non-Pharmacy Dispensing Site | 053715 | GA | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1629169164 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Sep 28, 2006 |
| Last updated | Mar 14, 2016 |
| Status | Active |
| Practice address |
3778 HIGHWAY 42 Locust Grove, GA 30248 (678) 610-6649 Fax (678) 610-6025 |
| Other identifiers |
=========
· Other |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 2 | 9 | 1 | 6 | 9 | 1 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 4 | 9 | 2 | 6 | 9 | 1 | 3 |
Sum = 66 · next multiple of 10 = 70 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.