FRESENIUS MEDICAL CARE BERKELEY LAKE, LLC


Address: 3870 Peachtree Industrial Blvd, Duluth, GA 30096-1422
Phone: 7704957942

FRESENIUS MEDICAL CARE BERKELEY LAKE, LLC (NPI# 1902168628) 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) 1902168628
Entity Type Organization
Organization Name FRESENIUS MEDICAL CARE BERKELEY LAKE, LLC
Other Organization Name FRESENIUS MEDICAL CARE BERKELEY LAKE
Practice Address 3870 Peachtree Industrial Blvd
Duluth
GA 30096-1422
Practice Telephone 7704957942
Practice Fax Number 7704957943
Mailing Telephone 7704957942
Mailing Fax Number 7704957943
Enumeration Date 2012-06-08
Last Update Date 2019-08-12
Authorized Official Name MARK R. FAWCETT (SVP & TREASURER)
Authorized Official Telephone 7816999000
Is Organization Subpart Y
Parent Organization Name FRESENIUS MEDICAL CARE HOLDINGS, INC.

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
GA 003132241A 05

Other Provider/Organization Names

Other Name Type Code
Fresenius Medical Care Berkeley Lake Doing Business As Name - Organization

Office Location

Street Address 3870 PEACHTREE INDUSTRIAL BLVD
City DULUTH
State GA
Zip Code 30096-1422

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356380364 Publix Super Markets Inc Pharmacy 3870 Peachtree Industrial Blvd, Duluth, GA 30096-1422 2006-06-05
1568861292 Srujana Baddam Dentist 3870 Peachtree Industrial Blvd, Duluth, GA 30096-1422 2014-08-19
1659618536 Shamila Tebyanian Pharmacist 3870 Peachtree Industrial Blvd, Duluth, GA 30096-1422 2013-01-11
1033279534 Maurice Edward Smith Dentist 3870 Peachtree Industrial Blvd, #220, Duluth, GA 30096-1422 2006-12-12
1306948377 Barbara L. Verdell Dentist 3870 Peachtree Industrial Blvd, Duluth, GA 30096-1422 2006-09-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922615897 Georgia Eye Optical, LLC Ophthalmology 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 2020-09-25
1568090868 Positive Behavior Services, Inc Behavior Technician 3765 Crestwood Pkwy Nw, Duluth, GA 30096 2020-03-31
1861031940 Elizabeth Ashley Edouard Counselor 3464 Duluth Hwy 120, Duluth, GA 30096 2020-01-06
1245701044 Kathryn Irene Vaughn Social Worker 3968 Mainsail Court, Duluth, GA 30096 2018-12-06
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1104314202 Erin Mckernan Scupham Chiropractor 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 2018-04-25
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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...

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NPI Name Taxonomy Address Enumeration
1124528831 Vancile Dialysis LLC Clinic/Center 3170 Peachtree Industrial Blvd Ste 100, Duluth, GA 30097-8615 2018-02-19
1962658807 Nephron Corporation Clinic/Center 3770 Howell Ferry Road, Duluth, GA 30096 2008-08-12
1386737112 Total Renal Care Inc Clinic/Center 10680 Medlock Bridge Rd, Ste 103, Duluth, GA 30097-8420 2006-10-02
1285749036 Bio-medical Applications of Minnesota, Inc. Clinic/Center 4700 Mike Colalillo Dr, Duluth, MN 55807-2723 2006-08-20
1952416794 Bio-medical Applications of Minnesota, Inc. Clinic/Center 502 E 2nd St, Duluth, MN 55805-1913 2006-08-20

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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 DULUTH
Zip Code 30096

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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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