RENAL ASSOCIATES OF LAGRANGE LLC (NPI# 1295219103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295219103 |
| Entity Type | Organization |
| Organization Name | RENAL ASSOCIATES OF LAGRANGE LLC |
| Practice Address |
1300 Lafayette Pkwy Ste D Lagrange GA 30241-2610 |
| Mailing Address |
6228 Bradley Park Dr Ste A Columbus GA 31904-3605 |
| Practice Telephone | 7063221486 |
| Practice Fax Number | 7063243419 |
| Mailing Telephone | 7063221486 |
| Mailing Fax Number | 7063243419 |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2018-09-18 |
| Authorized Official Name | BEVERLY REYNOLDS (OFFICE MANAGER) |
| Authorized Official Telephone | 7063221486 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 140 Glenn Bass Rd, Lagrange, GA 302405809 | 7063221486 | 7063243419 |
| 140 Old Mill Rd, Lagrange, GA 302416704 | 7063221486 | 7063243419 |
| 4130 White House Pkwy, Warm Springs, GA 318302214 | 7063221486 | 7063243419 |
| 5995 Spring St, Warm Springs, GA 318302149 | 7063221486 | 7063243419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679813406 | Renal Associates of Lagrange LLC | Internal Medicine | 1300 Lafayette Pkwy, Building D, Lagrange, GA 30241-2612 | 2013-02-14 |
| Street Address |
1300 LAFAYETTE PKWY STE D |
| City | LAGRANGE |
| State | GA |
| Zip Code | 30241-2610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154806594 | Renal Associates of Lagrange At Emory LLC | Nurse Practitioner | 1300 Lafayette Pkwy Ste D, Lagrange, GA 30241-2610 | 2018-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073994182 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 102 Corporate Park Drive East, Lagrange, GA 30241 | 2015-06-15 |
| 1235303686 | Atlas Neck & Back Center | Chiropractor | 309 N. Morgan St., Suite A, Lagrange, GA 30241 | 2008-04-16 |
| 1578756565 | Richard Freeman Simmons | Dentist | 2219 B West Point Rd, Dr Richard F Simmons, Lagrange, GA 30241 | 2007-08-22 |
| 1013071851 | Troup County School District | Local Education Agency (LEA) | 100 North Davis Road, Lagrange, GA 30241 | 2006-12-19 |
| 1851748172 | Medventures Physical Therapy, LLC | Physical Therapist | 1075 Lafayette Parkway, Ste 220, Lagrange, GA 30241 | 2016-05-17 |
| 1154784205 | Med Ventures Mri, LLC | Radiology | 1075 Lafayette Parkway, Ste 120, Lagrange, GA 30241 | 2016-04-05 |
| 1437514965 | Holly Renee Abbott | Counselor | 104 Harwell Ave, Lagrange, GA 30241 | 2015-12-29 |
| 1386780104 | Andre D Feria Md | Internal Medicine | 142 Old Mill Road, Lagrange, GA 30241 | 2007-01-29 |
| 1356354500 | Mohd Khairul Anam | Internal Medicine | 142 Old Mill Road, Lagrange, GA 30241 | 2006-08-15 |
| 1417914052 | Troup County Health Department | Public Health or Welfare | 1220 Hogansville Rd, Department of Family and Childrens Services Health Cent, Lagrange, GA 30241 | 2006-04-27 |
| Find all providers in zip 30241 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356571079 | Vinayak Ramanath | Internal Medicine | 1300 Lafayette Parkway, Ste D, Lagrange, GA 30241-2610 | 2009-07-15 |
| 1124071147 | Sadaf M Elahi | Internal Medicine | 5201 S. Willow Springs Rd., S-260, Lagrange, IL 60525 | 2006-05-19 |
| 1205828134 | Andre D Feria | Internal Medicine | 142 Old Mill Road, Lagrange, GA 30241-6704 | 2005-08-17 |
| 1275030819 | Nephrology Consultants of West Georgia | Internal Medicine | 142 Old Mill Rd, Lagrange, GA 30241-6704 | 2018-04-10 |
| 1679813406 | Renal Associates of Lagrange LLC | Internal Medicine | 1300 Lafayette Pkwy, Building D, Lagrange, GA 30241-2612 | 2013-02-14 |
| 1386780104 | Andre D Feria Md | Internal Medicine | 142 Old Mill Road, Lagrange, GA 30241 | 2007-01-29 |
| 1356354500 | Mohd Khairul Anam | Internal Medicine | 142 Old Mill Road, Lagrange, GA 30241 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053968511 | Gwinnett Nephrology LLC | Internal Medicine | 1567 Janmar Rd Ste 100, Snellville, GA 30078-0308 | 2019-08-20 |
| 1063070654 | Kidney Specialists of Georgia PC | Internal Medicine | 575 Professional Dr Ste 290, Lawrenceville, GA 30046-3347 | 2019-05-30 |
| 1912484395 | Atlanta Kidney Care LLC | Internal Medicine | 1462 Montreal Rd Ste 214, Tucker, GA 30084-6931 | 2018-07-27 |
| 1932591948 | Georgia Renal and Hypertension Care Inc | Internal Medicine | 928 S Park St, Suite H, Carrollton, GA 30117-4501 | 2015-02-27 |
| 1316344492 | Oconee Nephrology Associates, Inc. | Internal Medicine | 700 Oglethorpe Ave., Suite B1, Athens, GA 30606 | 2014-12-04 |
| 1134524853 | Sheryl Cababat Caberto | Internal Medicine | 1648 Pierce Dr Ne, Atlanta, GA 30307 | 2014-10-23 |
| 1306265384 | Srikar Kumar | Internal Medicine | 250 Village Center Pkwy Ste 100, Stockbridge, GA 30281-9104 | 2014-04-07 |
| 1477995868 | Moti Samaki | Internal Medicine | 1500 Oglethorpe Ave Ste 500c, Athens, GA 30606-2184 | 2013-07-25 |
| 1902143233 | Barry Jay Rosenbaum | Internal Medicine | 2000 Castleway Dr Ne, Atlanta, GA 30345-3914 | 2013-01-07 |
| 1326384637 | Nardos K Belayneh | Internal Medicine | 1612 Milstead Rd Ne Ste A, Conyers, GA 30012-3738 | 2012-12-14 |
| Find all providers with the same taxonomy | ||||
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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.