LAKE OCONEE DIALYSIS CENTER LLC


Address: 1000 Cowles Clinic Way, Greensboro, GA 30642-5285
Phone: 7064541440

LAKE OCONEE DIALYSIS CENTER LLC (NPI# 1447544978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447544978
Entity Type Organization
Organization Name LAKE OCONEE DIALYSIS CENTER LLC
Practice Address 1000 Cowles Clinic Way
Greensboro
GA 30642-5285
Practice Telephone 7064541440
Practice Fax Number 7064541443
Mailing Telephone 7064541440
Mailing Fax Number 7064541443
Enumeration Date 2011-06-01
Last Update Date 2020-03-11
Authorized Official Name SHARI K COUSINS (SR. VP OF CLINICAL & REGULATORY)
Authorized Official Telephone 9789223080
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QE0700X Clinic/Center
Specialization: End-Stage Renal Disease (ESRD) Treatment
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
GA 003122292A 05

Office Location

Street Address 1000 COWLES CLINIC WAY
City GREENSBORO
State GA
Zip Code 30642-5285

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003046673 Apalachee Medical Supply & Mobility Inc Durable Medical Equipment & Medical Supplies 1000 Cowles Clinic Way, Aspen Building A-200, Greensboro, GA 30642 2009-07-17
1043577265 Putnam General Hospital Medical Associates, LLC Internal Medicine 1000 Cowles Clinic Way, Ste W-2, Greensboro, GA 30642-4539 2012-04-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821575176 Donald Matson Keiser IIi Pharmacist 6380 Lake Oconee Parkway, Greensboro, GA 30642 2018-07-19
1427575844 Kathleen Mcgrady Psychologist 1121 Careywood St, Greensboro, GA 30642 2017-08-25
1851733281 April Jackson Powell Physical Therapist 1000 Cowles Clinc Way Ste D-100, Greensboro, GA 30642 2013-07-26
1487808754 Wendy C Pearson Nurse Practitioner 1000 Cowles Clinc Way Ste 300, Greensboro, GA 30642 2008-11-12
1144481516 Kingdom Medical Supply LLC Durable Medical Equipment & Medical Supplies 1020 Park Drive, Suite B, Greensboro, GA 30642 2008-06-18
1538369343 Jerry Allen Spivey Jr. Anesthesiology 1030 Founders Row, Greensboro, GA 30642 2007-07-19
1578766309 Richard Norman Lee Dentist 1041 Parkside Commons, Suite 104, Greensboro, GA 30642 2007-06-08
1609085950 Lott Cuffie Southwest Properties Dentist 1050 Parkside Commons, Suite 103, Greensboro, GA 30642 2007-05-22
1649320490 Greene County Nursing Center LLC Skilled Nursing Facility 1211 Siloam Road, Greensboro, GA 30642 2007-01-12
1235225822 James T Tippett Internal Medicine 1210 Commerce Dr Ste 106, Greensboro, GA 30642 2006-10-04
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508341363 Bio-medical Applications of North Carolina, Inc. Clinic/Center 924 Third St, Greensboro, NC 27405-6967 2018-09-27
1962582973 Bio-medical Applications of North Carolina, Inc. Clinic/Center 3839 Burlington Rd, Greensboro, NC 27405-8645 2006-10-16
1447340948 Bio-medical Applications of North Carolina, Inc. Clinic/Center 2700 Henry St, Greensboro, NC 27405-3633 2006-10-13
1134231962 Bio-medical Applications of North Carolina, Inc. Clinic/Center 622 Industrial Ave, Greensboro, NC 27406-4604 2006-08-31
1861504672 Bio-medical Applications of North Carolina, Inc. Clinic/Center 2837 Horse Pen Creek Rd, Greensboro, NC 27410-9700 2006-08-31
1265420327 Greensboro Dialysis Facility, L.L.C. Clinic/Center 1220 Siloam Rd, Greensboro, GA 30642-2810 2005-10-12
1073816914 Isd Renal Inc Clinic/Center 1220 Siloam Rd, Greensboro, GA 30642-2810 2010-12-15
1801842489 Independent Nephrology Services, Inc Clinic/Center 1002 N Church St, Greensboro, NC 27401-1439 2006-05-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871190207 Usrc Powder Springs Home LLC Clinic/Center 3721 New Macland Rd Ste 100b, Powder Springs, GA 30127-2000 2020-10-08
1083229280 Bio- Medical Applications of Georgia, Inc. Clinic/Center 145 W Hendry St, Hinesville, GA 31313-3201 2020-09-14
1336759463 Plattaz Dialysis, LLC Clinic/Center 100 Promenade Pkwy Ste C, Fayetteville, GA 30214-7735 2020-08-04
1174140743 Home Dialysis Services Norcross LLC Clinic/Center 3780 Holcomb Bridge Rd Ste E, Norcross, GA 30092-4877 2020-06-30
1265058275 Dialysis Care Center Pleasant Hill LLC Clinic/Center 1425 Georgia Ave Ste 102, Macon, GA 31201-6546 2020-06-25
1598389132 Concerto Georgia LLC Clinic/Center 655 Exchange Cir Ste 100, Bethlehem, GA 30620-1767 2020-05-29
1629607098 Rutledge Dialysis, LLC Clinic/Center 1719 New Hope Rd, Lawrenceville, GA 30045-6570 2020-04-07
1215562293 Dialysis Clinic Inc Clinic/Center 1219 S. Martin Luther King Blvd., Americuse, GA 31719 2020-03-10
1659915882 Filmore Dialysis, LLC Clinic/Center 4555 Atlanta Hwy Ste M, Loganville, GA 30052-2646 2019-10-31
1013562818 Menca Dialysis, LLC Clinic/Center 3030 Headland Dr Sw Ste C, Atlanta, GA 30311-5435 2019-08-08
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Competitor

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City GREENSBORO
Zip Code 30642

Improve Information

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Dataset Information

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.

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