MARK ALAN CHASTAIN MD
NPI 1790756138
Dermatology, Mohs-micrographic Surgery in Marietta,


Quality Rating: 100 out of 100 score

NPI Status: Active since February 1, 2006

Contact Information

835 Cogburn Ave Nw
Marietta,
Post Code: 30060
Phone: (770) 422-5557
Fax: (770) 422-5456

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Mark Alan Chastain Md in Marietta - Dermatology, MOHS-Micrographic Surgery

Mark Alan Chastain Md is a Dermatology, MOHS-Micrographic Surgery in Marietta, . Mark Alan Chastain Md practices all healthcare services and medical treatments related to Dermatology, MOHS-Micrographic Surgery. The NPI Number for Mark Alan Chastain Md is 1790756138. The last update date is 2020-06-12.

Mark Alan Chastain Md's current location address is 835 Cogburn Ave Nw, Marietta, . You can contact this provider via phone number (770) 422-5557 and fax number (770) 422-5456. The mailing address for Mark Alan Chastain Md is 835 Cogburn Ave Nw, Marietta, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1790756138
Provider Name
MARK ALAN CHASTAIN MD
Gender
Male
Entity Type
Individual
Location Address
835 Cogburn Ave Nw, Marietta,
Location Phone
(770) 422-5557
Location Fax
(770) 422-5456
Mailing Address
835 Cogburn Ave Nw, Marietta, Georgia(GA)
Mailing Phone
770-422-5557
Mailing Fax
770-422-5456
Enumeration Date
2006-02-01
Last Update Date
2020-06-12
Code Navigator

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

Dermatology

Taxonomy Code
207N00000X
Type
-
License No.
048995
License State
Georgia (GA)
Taxonomy Description
-

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)
1 207ND0101X MOHS-Micrographic Surgery Physician

Dermatology, MOHS-Micrographic Surgery

048995 (Georgia)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
P00086676 Other (non-Medicare) (01) Georgia (GA) Railroad Medicare
339883816A MEDICAID (05) Georgia (GA)

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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.
1790756138
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271801451216
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 271801451216
2 + 7 + 1 + 8 + 0 + 1 + 4 + 5 + 1 + 2 + 1 + 6 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 8 8

The NPI number 1790756138 is valid because the calculated check digit 8 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
1295738227 JOHN DAY
Individual
Orthopaedic Surgery 300 TOWER RD NE
MARIETTA, Georgia (GA)
770-427-5717
1295738243 MEDFUND LLC
HORIZON COLUMBUS LLC
Organization
Clinic/Center, Magnetic Resonance Imaging (MRI) 240 N WASHINGTON BLVD
SARASOTA, Florida (FL)
941-925-3490
1285637231 CARLOS E LOPEZ
Individual
Internal Medicine, Infectious Disease 275 COLLIER RD NW
ATLANTA, Georgia (GA)
404-355-3161
1063415016 D HODARI BROOKS
Individual
Orthopaedic Surgery 1700 HOSPITAL SOUTH DR STE 502
AUSTELL, Georgia (GA)
943-202-7070
1588667521 ORRIN SCOTT SWAYZE
Individual
Orthopaedic Surgery 300 TOWER RD NE
MARIETTA, Georgia (GA)
770-427-5717