TOTAL RENAL CARE INC (NPI# 1194784314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194784314 |
| Entity Type | Organization |
| Organization Name | TOTAL RENAL CARE INC |
| Other Organization Name | NEPHROLOGY CENTER OF SOUTH AUGUSTA |
| Practice Address |
1631 Gordon Hwy Ste 1b Augusta GA 30906 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 7067908300 |
| Practice Fax Number | 7067909944 |
| Mailing Telephone | 6153204268 |
| Mailing Fax Number | 8772380567 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2020-07-13 |
| Authorized Official Name | JOHN WINSTEL (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334501 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
ESRD000997 | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000891723A | 05 | |
| SC | 125608 | 05 |
| Other Name | Type Code |
|---|---|
| Nephrology Center of South Augusta | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690506 | Total Renal Care Inc | Clinic/Center | 16290 Auto Ln, Sumner, WA 98390-2568 | 2020-08-21 |
| 1669080107 | Total Renal Care Inc | Clinic/Center | 4270 Rosewood Dr Ste E, Pleasanton, CA 94588-3065 | 2020-07-21 |
| 1437798386 | Total Renal Care Inc | Clinic/Center | 1800 State Route 34 Ste 302, Wall Township, NJ 07719-9146 | 2019-12-24 |
| 1750939963 | Total Renal Care Inc | Clinic/Center | 7 Cambridge Dr Ste 105, Trumbull, CT 06611-4763 | 2019-08-30 |
| 1992358170 | Total Renal Care Inc | Clinic/Center | 1700 Markley St, Ste 122, Norristown, PA 19401-2902 | 2019-07-17 |
| 1760034599 | Total Renal Care Inc | Clinic/Center | 9431 Corkscrew Palms Cir, Estero, FL 33928-6275 | 2019-07-11 |
| 1225691447 | Total Renal Care Inc | Clinic/Center | 1115 N Nova Rd, Daytona Beach, FL 32117-4108 | 2019-04-15 |
| 1659839181 | Total Renal Care Inc | Clinic/Center | 645 9th St Nw, Salem, OR 97304-3132 | 2019-03-04 |
| 1477019388 | Total Renal Care Inc | Clinic/Center | 4539 Chiquita Blvd S, Cape Coral, FL 33914 | 2019-02-15 |
| 1902377591 | Total Renal Care Inc | Clinic/Center | 11859 Wilshire Blvd Ste 100, Los Angeles, CA 90025-6653 | 2018-12-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Total Renal Care Inc. | 2626 Glenwood Avenue Suite 550, Raleigh, NC 27608 |
| Virginia Business Entities | TOTAL RENAL CARE INC. | 2000 16th St, Jld/secgovfin, Denver, Colorado 80202-5117 |
| Street Address |
1631 GORDON HWY STE 1B |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306811914 | Terrence L Vandiver | Dentist | 1631 Gordon Hwy, #22, Augusta, GA 30906-2292 | 2006-02-18 |
| 1215487467 | Gordon Highway Dental Group, LLC | Dentist | 1631 Gordon Hwy, Augusta, GA 30906 | 2016-10-12 |
| 1720497001 | Andrew Jenzer | Dentist | 1631 Gordon Hwy, Augusta, GA 30906-2292 | 2014-08-12 |
| 1255408456 | Vinh Tu Vuong | Dentist | 1631 Gordon Hwy, #22, Augusta, GA 30906-2292 | 2006-11-30 |
| 1033184643 | Augusta Smiles Youth Dentistry, PC | Dentist | 1631 Gordon Hwy, Suite #22, Augusta, GA 30906-2292 | 2006-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255969432 | Barton Chapel Dental Group, LLC | Dentist | 2755 Barton Chapel Road, Augusta, GA 30906 | 2020-04-01 |
| 1255897419 | Pediatric Mobility Innovations | Durable Medical Equipment & Medical Supplies | 3114 Augusta Tech Drive Suite 404, Augusta, GA 30906 | 2019-02-13 |
| 1023539731 | Kristy Lee Gibbs | Registered Nurse | 3421 Mike Padgett Hwy Bldg C, Augusta, GA 30906 | 2017-07-03 |
| 1194186031 | Clifton Nane Williams | Counselor | 3230 Hampton Circle, Augusta, GA 30906 | 2016-03-18 |
| 1376929661 | Catherine A. Ganzy | Social Worker | 3405 Mike Padgett Highway; Building 201, East Central Regional Hosptial, Augusta, GA 30906 | 2015-08-10 |
| 1962810358 | Fatemeh Azadeh Paziraei | Dentist | 1631 Gordon Highway, Augusta Smiles Youth Dentistry, Augusta, GA 30906 | 2014-07-29 |
| 1568809770 | Brandon Jennings | Occupational Therapy Assistant | 2388 Old Mcduffie Rd, Augusta, GA 30906 | 2013-05-29 |
| 1811266646 | Eddie P Johnson IIi, Dmd, PC | Preferred Provider Organization | 2755 Barton Chapel Rd, Augusta, GA 30906 | 2011-12-23 |
| 1366739021 | Kerensa A Cooks | Registered Nurse | 3421 Mike Padgett Highway, Serenity Behavioral Health Systems, Augusta, GA 30906 | 2011-07-01 |
| 1265737423 | Pidcock Chiropractic, Inc. | Chiropractor | 3028 Peach Orchard Rd., Augusta, GA 30906 | 2011-01-20 |
| Find all providers in zip 30906 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225412513 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 2470 Wrightsboro Rd, Augusta, GA 30904-6202 | 2015-07-16 |
| 1235370164 | Rai Care Centers of Georgia I LLC | Clinic/Center | 1719 Magnolia Way, Augusta, GA 30909-9482 | 2009-03-24 |
| 1225140056 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 1717 Walton Way, Augusta, GA 30904-3705 | 2006-08-31 |
| 1508978313 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 3206 Peach Orchard Rd, Augusta, GA 30906-3540 | 2006-08-31 |
| 1316059140 | Bio-medical Applications of Georgia Inc | Clinic/Center | 1109 Medical Center Dr Bldg H, Augusta, GA 30909-6669 | 2006-08-31 |
| 1063438042 | Bio-medical Applications of Maine, Inc. | Clinic/Center | 164 Civic Center Dr, Augusta, ME 04330-8028 | 2006-07-14 |
| 1255373437 | Ara-south Augusta Clinic LLC | Clinic/Center | 1649 Gordon Hwy, Augusta, GA 30906-2220 | 2006-06-12 |
| 1073560611 | Nra-augusta, Georgia, LLC | Clinic/Center | 2841 Deans Bridge Rd, Augusta, GA 30906-2704 | 2006-05-28 |
| 1194772947 | Ara-augusta Clinic LLC | Clinic/Center | 1000 Telfair St, Augusta, GA 30901-2208 | 2006-05-27 |
| 1972572949 | Dva Healthcare Renal Care Inc | Clinic/Center | 1815 Wylds Rd, Augusta, GA 30909-4430 | 2006-03-14 |
| Find all providers in AUGUSTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.