DSI MACON, LLC (NPI# 1770970147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770970147 |
Entity Type | Organization |
Organization Name | DSI MACON, LLC |
Other Organization Name | U.S. RENAL CARE FORSYTH DIALYSIS |
Practice Address |
91 Martin Luther King Jr Dr Forsyth GA 31029-1648 |
Mailing Address |
424 Church St Suite 1900 Nashville TN 37219-2301 |
Practice Telephone | 4789946488 |
Practice Fax Number | 4789943732 |
Mailing Telephone | 6157778200 |
Enumeration Date | 2015-04-23 |
Last Update Date | 2016-04-14 |
Authorized Official Name | THOMAS L. WEINBERG (AUTHORIZED OFFICIAL) |
Authorized Official Telephone | 2147362700 |
Is Organization Subpart | Y |
Parent Organization Name | U.S. RENAL CARE, 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 |
Other Name | Type Code |
---|---|
U.S. Renal Care Forsyth Dialysis | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629464797 | Dsi Macon, LLC | Clinic/Center | 1002 Boulder Dr, Gray, GA 31032-6140 | 2015-04-15 |
1144616228 | Dsi Macon, LLC | Clinic/Center | 1310 N Columbia St, Milledgeville, GA 31061-2307 | 2015-04-15 |
1881080950 | Dsi Macon, LLC | Clinic/Center | 657 Hemlock St Ste 100, Macon, GA 31201-8331 | 2015-04-15 |
1922495308 | Dsi Macon, LLC | Clinic/Center | 2500 2nd St, Macon, GA 31206-2224 | 2015-04-23 |
1114314598 | Dsi Macon, LLC | Clinic/Center | 280 Clinton St, Macon, GA 31217-3954 | 2015-04-23 |
1023405404 | Dsi Macon, LLC | Clinic/Center | 745 Pine St, Macon, GA 31201-2106 | 2015-04-23 |
1295122679 | Dsi Macon, LLC | Clinic/Center | 411 N Jefferson St Ne, Milledgeville, GA 31061-2920 | 2015-04-23 |
1255727327 | Dsi Macon, LLC | Clinic/Center | 2525 2nd St, Macon, GA 31206-2223 | 2015-04-15 |
1497141576 | Dsi Macon, LLC | Clinic/Center | 1393 Funderburg Dr, Monticello, GA 31064-6818 | 2015-04-15 |
Street Address |
91 MARTIN LUTHER KING JR DR |
City | FORSYTH |
State | GA |
Zip Code | 31029-1648 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518079326 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 91 Martin Luther King Jr Dr, Forsyth, GA 31029-1648 | 2006-08-31 |
1023384690 | Dialysis Newco Inc | Clinic/Center | 91 Martin Luther King Jr Dr, Forsyth, GA 31029-1648 | 2012-03-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699836833 | River Edge Behavioral Health Center | Community/Behavioral Health | 101 Willis Wilder Drive, Forsyth, GA 31029 | 2006-12-12 |
1497840821 | Castleberry Drug Company, LLC | Pharmacist | 67 N. Lee St, Forsyth, GA 31029 | 2006-10-03 |
1437168853 | Mclendon Pt Services LLC | Physical Therapist | 320 Lee King Rd, Forsyth, GA 31029 | 2006-08-05 |
1831168905 | Patton P Smith | Family Medicine | 90-a Martin Luther King Jr Drive, Forsyth, GA 31029 | 2006-03-14 |
1124504782 | Kenneth Wayne Waddell Jr. | Nurse Practitioner | 120 N Lee St Ste A, Forsyth, GA 31029 | 2018-07-17 |
1790176865 | Speechworks 4 Kids, LLC | Speech-Language Pathologist | 215 Cresent Dr, Forsyth, GA 31029 | 2015-02-11 |
1316988645 | Sarah Elizabeth Conklin | Nurse Practitioner | 90-a Martin Luther King Jr. Drive, Forsyth, GA 31029-0000 | 2006-06-09 |
1801981592 | Craig Caldwell | Internal Medicine | 97 Martin Luther King Jr Dr, Forsyth, GA 31029-1648 | 2006-10-04 |
1427160191 | Tammy Lynn Barnett | Nurse Practitioner | 97 Martin Luther King Jr. Dr., Forsyth, GA 31029-1648 | 2006-08-31 |
1043696172 | Elizabeth Goodwin | Nurse Practitioner | 97 Martin Luther King Jr Dr, Forsyth, GA 31029-1648 | 2015-07-30 |
Find all providers in zip 31029 |
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 |
---|---|---|---|---|
1982125142 | Dialysis Center of Forsyth LLC | Clinic/Center | 120 N Lee St Ste F, Forsyth, GA 31029-2122 | 2017-06-28 |
1518079326 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 91 Martin Luther King Jr Dr, Forsyth, GA 31029-1648 | 2006-08-31 |
1023384690 | Dialysis Newco Inc | Clinic/Center | 91 Martin Luther King Jr Dr, Forsyth, GA 31029-1648 | 2012-03-28 |
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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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.