RENAL TREATMENT CENTERS MID ATLANTIC INC (NPI# 1912567330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912567330 |
| Entity Type | Organization |
| Organization Name | RENAL TREATMENT CENTERS MID ATLANTIC INC |
| Other Organization Name | FAIRBURN PALMETTO DIALYSIS |
| Practice Address |
501 Walnut Way Palmetto GA 30268-1800 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 7704632394 |
| Practice Fax Number | 7704635717 |
| Mailing Telephone | 6153416282 |
| Mailing Fax Number | 8003365910 |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-07-19 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334500 |
| Is Organization Subpart | N |
| 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 |
|---|---|
| Fairburn Palmetto Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992323976 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 300 Cedar Ridge Dr Ste 302, Pittsburgh, PA 15205-1159 | 2020-07-07 |
| 1750906574 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 9333 State Route 61, Coal Township, PA 17866-4170 | 2020-06-09 |
| 1982183224 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 251 Mount Nebo Pointe Rd, Pittsburgh, PA 15237-1313 | 2018-08-08 |
| 1306338306 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 626 W Main St, Murfreesboro, NC 27855-1510 | 2018-06-05 |
| 1184143356 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 2210 W Webb Ave, Burlington, NC 27217-1068 | 2017-09-19 |
| 1306362660 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 4110 Austell Powder Springs Rd Ste 100, Powder Springs, GA 30127-2954 | 2017-08-18 |
| 1437684503 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 96 June Dr, Roaring Spring, PA 16673-2316 | 2017-04-26 |
| 1700055399 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 2201 Colonial Ave, Norfolk, VA 23517-1928 | 2008-02-27 |
| 1851594329 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 3651 Bakers Ferry Rd Sw, Atlanta, GA 30331-3712 | 2007-06-11 |
| 1831223114 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 14664 Gap Way, Gainesville, VA 20155-1683 | 2007-03-16 |
| Street Address |
501 WALNUT WAY |
| City | PALMETTO |
| State | GA |
| Zip Code | 30268-1800 |
| 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 |
|---|---|---|---|---|
| 1760681506 | Nra Palmetto Georgia LLC | Clinic/Center | 500 Walnut Way, Palmetto, GA 30268-8611 | 2007-07-12 |
| 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.