FRESENIUS MEDICAL CARE REDAN, LLC (NPI# 1558812131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558812131 |
| Entity Type | Organization |
| Organization Name | FRESENIUS MEDICAL CARE REDAN, LLC |
| Other Organization Name | FRESENIUS MEDICAL CARE STONECREST |
| Practice Address |
8425 Mall Parkway Lithonia GA 30038 |
| Practice Telephone | 6785261014 |
| Practice Fax Number | 6785261044 |
| Mailing Telephone | 6785261014 |
| Mailing Fax Number | 6785261044 |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2020-03-24 |
| Authorized Official Name | MR. MARK R FAWCETT (SVP & TREASURER) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003202799A | 05 |
| Other Name | Type Code |
|---|---|
| Fresenius Kidney Care Stonecrest | Doing Business As Name - Organization |
| Fresenius Medical Care Stonecrest | Doing Business As Name - Organization |
| Street Address |
8425 MALL PARKWAY |
| City | LITHONIA |
| State | GA |
| Zip Code | 30038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598220717 | Pkanita Bonner Marion | Nurse Practitioner | 8425 Mall Parkway, Lithonia, GA 30038 | 2019-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548814825 | Cynthia Thomas | Nurse's Aide | 5021 Chupp Way, Lithonia, GA 30038 | 2019-07-25 |
| 1730637059 | Flora's Loving Hands | Psychologist | 4891 Eagles Ridge Loop, Lithonia, GA 30038 | 2016-09-15 |
| 1679921886 | Mercy Oyerinde | Nurse Practitioner | 4742 Lanten Court., Lithonia, GA 30038 | 2016-05-27 |
| 1982020996 | Dina Rebecca Smith | Counselor | 6474 Gina Agha Circle, Lithonia, GA 30038 | 2014-03-14 |
| 1164765889 | Kimberly A Weems | Home Health | 6694 Brownsmill Ferry Drive, Lithonia, GA 30038 | 2013-04-01 |
| 1073850988 | Pain and Spine Solutions, LLC | Specialist | 3974 Glen Park Drive, Lithonia, GA 30038 | 2013-01-11 |
| 1629337514 | Fozi Ouse Adem | Pharmacist | 3140 Turner Hill Road, Lithonia, GA 30038 | 2012-05-11 |
| 1043579402 | Elizabeth Anne Berlin | Physician Assistant | 8825 Mall Parkway, Suite 150, Lithonia, GA 30038 | 2012-05-04 |
| 1730467911 | From Our Heart To Your Heart Personal Care Home | Custodial Care Facility | 4485 Idlewood Park, Lithonia, GA 30038 | 2011-07-22 |
| 1740442540 | Sechin Firmin | Dentist | 4616 Browns Mill Ln, Lithonia, GA 30038 | 2008-07-02 |
| Find all providers in zip 30038 | ||||
| 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 |
|---|---|---|---|---|
| 1578009395 | Morrison Dialysis LLC | Clinic/Center | 8032 Rockbridge Rd, Lithonia, GA 30058-5882 | 2017-01-18 |
| 1902142391 | Total Renal Care Inc | Clinic/Center | 7301 Stonecrest Concourse Ste 101, Lithonia, GA 30038-6902 | 2012-12-13 |
| 1194843680 | Bio- Medical Applications of Georgia, Inc. | Clinic/Center | 6085 Hillandale Dr, Lithonia, GA 30058-4839 | 2007-03-26 |
| 1447362264 | Lithonia-rockdale Dialysis LLC | Clinic/Center | 2701 Evans Mill Rd, Lithonia, GA 30058-7500 | 2006-08-31 |
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| 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 |
| 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.