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).
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. |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 003132241A | 05 |
Other Name | Type Code |
---|---|
Fresenius Medical Care Berkeley Lake | Doing Business As Name - Organization |
Street Address |
3870 PEACHTREE INDUSTRIAL BLVD |
City | DULUTH |
State | GA |
Zip Code | 30096-1422 |
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 |
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 |
1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
Find all providers in zip 30096 |
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 |
---|---|---|---|---|
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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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.