GEORGIA QUALITY KIDNEY CARE, LLC (NPI# 1861710998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861710998 |
Entity Type | Organization |
Organization Name | GEORGIA QUALITY KIDNEY CARE, LLC |
Practice Address |
170 Camden Hill Road Suite F Lawrenceville GA 30046 |
Mailing Address |
170 Camden Hill Rd Suite F Lawrenceville GA 30046-7418 |
Practice Telephone | 7703394225 |
Practice Fax Number | 7703394797 |
Mailing Telephone | 7703394225 |
Mailing Fax Number | 7703394797 |
Enumeration Date | 2010-05-13 |
Last Update Date | 2014-06-25 |
Authorized Official Name | DR. WILLIAM G PAXTON (MANAGING MEMBER) |
Authorized Official Telephone | 7703394225 |
Authorized Official Credential | MD, PHD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 174400000X | Specialist | 046206 | GA | Other Service Providers |
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
GA | Allopathic & Osteopathic Physicians |
Street Address |
170 CAMDEN HILL ROAD SUITE F |
City | LAWRENCEVILLE |
State | GA |
Zip Code | 30046 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
Find all providers in zip 30046 |
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 |
---|---|---|---|---|
1063070654 | Kidney Specialists of Georgia PC | Internal Medicine | 575 Professional Dr Ste 290, Lawrenceville, GA 30046-3347 | 2019-05-30 |
1417101189 | Chetana Rondla | Internal Medicine | 595 Hurricane Shoals Road, N.w., Suite 100, Lawrenceville, GA 30046 | 2008-11-07 |
1346412012 | Mark A Klausner | Internal Medicine | 2332 Town Ct N, Lawrenceville, NJ 08648-4709 | 2008-04-02 |
1023298981 | Franklin D. Diaz, Md, PC | Internal Medicine | 601 A Professional Drive, Suite 200, Lawrenceville, GA 30045-3004 | 2007-11-08 |
1407999246 | Franklin Daniel Diaz | Internal Medicine | 601a Professional Drive Ste 225, Lawrenceville, GA 30046-3325 | 2007-02-14 |
1295721124 | Meena J. Kavil | Internal Medicine | 595 Hurricane Shoals Rd Nw Ste 100, Lawrenceville, GA 30046 | 2005-09-26 |
1700881612 | Kirti K Shah | Internal Medicine | 605 Old Norcross Rd, Lawrenceville, GA 30045-4315 | 2005-06-16 |
1972507630 | Li-kun Tu | Internal Medicine | 595 Hurricane Shoals Road Suite 100, Lawrenceville, GA 30046 | 2005-06-10 |
1306193016 | Ewalola Ayo Ijaduola | Internal Medicine | 595 Hurricane Shoals Rd Nw Ste 100, Lawrenceville, GA 30046-8762 | 2012-08-13 |
1922390830 | Vinod Raman | Internal Medicine | 595 Hurricane Shoals Rd Nw Ste 100, Lawrenceville, GA 30046-8762 | 2011-05-11 |
Find all providers in LAWRENCEVILLE |
City | LAWRENCEVILLE |
Zip Code | 30046 |
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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.