Individual provider

Farah Octavien, AGNP

Gerontology Clinical Nurse Specialist

Farah Octavien, AGNP is a Gerontology Clinical Nurse Specialist in Ellenwood, GA, registered under NPI 1629629613. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 2873 VILLAGE PARK DR E, Ellenwood, GA 30294. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2873 VILLAGE PARK DR E, Ellenwood, GA 30294 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
AG03190021 GA Gerontology Clinical Nurse Specialist primary

This provider holds licence AG03190021 issued in GA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Gerontology covers

Definition to come... NUCC Health Care Provider Taxonomy, code 364SG0600X
Physician Assistants & Advanced Practice Nursing Providers Clinical Nurse Specialist Gerontology

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-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1629629613 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateSep 22, 2019
Last updatedSep 22, 2019
StatusActive
Sole proprietorYes
GenderFemale
CredentialAGNP
Practice address 2873 VILLAGE PARK DR E
Ellenwood, GA 30294
(678) 571-0918
The last update on file is Sep 22, 2019. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1629629613 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
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 6 2 9 6 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 4 9 3 2 9 6 2

Sum = 67 · next multiple of 10 = 70 · check digit = 3 · actual last digit = 3

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.

Common questions

What is NPI number 1629629613?
NPI 1629629613 is the National Provider Identifier assigned to Farah Octavien, AGNP in Ellenwood, GA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Gerontology cover?
Definition to come...
How do I contact Farah Octavien, AGNP?
The phone number on file with NPPES is (678) 571-0918, last updated Sep 22, 2019. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1629629613 a valid number?
Yes. 1629629613 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.