NRA PALMETTO GEORGIA LLC (NPI# 1760681506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760681506 |
| Entity Type | Organization |
| Organization Name | NRA PALMETTO GEORGIA LLC |
| Other Organization Name | PALMETTO DIALYSIS CLINIC |
| Practice Address |
500 Walnut Way Palmetto GA 30268-8611 |
| Mailing Address |
1550 W. Mcewen Drive Suite 500 Franklin TN 37067-1731 |
| Practice Telephone | 7704631442 |
| Practice Fax Number | 7704631337 |
| Mailing Telephone | 6156611100 |
| Mailing Fax Number | 6155073300 |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2011-04-06 |
| Authorized Official Name | MR. JON M. SUNDOCK (VICE PRESIDENT) |
| Authorized Official Telephone | 6155073307 |
| Is Organization Subpart | Y |
| Parent Organization Name | RAI II, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
ESRD000788 | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 315856063A | 05 | |
| GA | CLIA | 11D1072364 | 01 |
| Other Name | Type Code |
|---|---|
| Palmetto Dialysis Clinic | Doing Business As Name - Organization |
| Street Address |
500 WALNUT WAY |
| City | PALMETTO |
| State | GA |
| Zip Code | 30268-8611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013521491 | Hla Ambulance LLC | Ambulance | 43 Amanda Ln, Palmetto, GA 30268 | 2020-09-03 |
| 1134779424 | Center for Positive Change LLC | Counselor | 11207 Serenbe Lane, Hills, GA 30268 | 2019-09-18 |
| 1336397868 | Key David Mcmurrain Jr. | Preventive Medicine | 10180 Capps Ferry Road, Palmetto, GA 30268 | 2008-09-09 |
| 1548333115 | Carolyn E Johnson | Registered Nurse | 507 Park Street, Palmetto, GA 30268 | 2006-11-15 |
| 1386710796 | Gary Lane Watts | Dentist | 501 Park St, Palmetto, GA 30268-1007 | 2006-11-28 |
| 1285707455 | Angela P. Shannon | Psychiatry & Neurology | 507 Park St, Palmetto, GA 30268-1007 | 2006-11-16 |
| 1952967234 | Palmetto Health Council, Inc. | Clinic/Center | 507 Park St, Palmetto, GA 30268-1007 | 2019-05-13 |
| 1447791835 | Lyzette Santiago Rodriguez | Counselor | 507 Park St, Palmetto, GA 30268-1007 | 2017-03-17 |
| 1841580560 | Palmetto Family Dental, PC | Dentist | 501 Park St, Palmetto, GA 30268-1007 | 2011-04-14 |
| 1861631053 | Jordan Albert Brunson | Dentist | 501 Park St, Palmetto, GA 30268-1007 | 2009-02-11 |
| Find all providers in zip 30268 | ||||
| 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 |
|---|---|---|---|---|
| 1912567330 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 501 Walnut Way, Palmetto, GA 30268-1800 | 2019-06-18 |
| 1417069261 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 627 10th Street East, Palmetto, FL 34221 | 2006-08-31 |
| 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 |
| 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.