SHASHI MADAN MD PC
SHASHI MADAN MD PC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1801117007, based in Jackson, GA. The organization lists 3 taxonomy classifications, with Health Maintenance Organization recorded as primary.
Getting there
The practice address on file is 135 N OAK ST, Jackson, GA 30233. 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 |
|---|---|---|
| 037279 | GA | Health Maintenance Organization primary |
| 037279 | GA | Case Management Agency |
| 037279 | GA | Home Health Agency |
This provider holds licence 037279 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
- 2062543754
- Enrollment ID
- O20100624000184
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 Health Maintenance Organization covers
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. NUCC Health Care Provider Taxonomy, code 302R00000X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 302R00000X | Health Maintenance Organization | 037279 | GA | primary |
| 251B00000X | Case Management Agency | 037279 | GA | |
| 251E00000X | Home Health Agency | 037279 | GA |
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 | 1801117007 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jun 22, 2010 |
| Last updated | Jun 22, 2010 |
| Status | Active |
| Practice address |
135 N OAK ST Jackson, GA 30233 (770) 775-7675 |
| Other identifiers |
000568554B
· Medicaid (GA) |
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 | 8 | 0 | 1 | 1 | 1 | 7 | 0 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 8 | 0 | 1 | 2 | 1 | 5 | 0 | 0 |
Sum = 43 · next multiple of 10 = 50 · check digit = 7 · actual last digit = 7
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.