DSI MACON, LLC (NPI# 1922495308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922495308 |
| Entity Type | Organization |
| Organization Name | DSI MACON, LLC |
| Other Organization Name | DSI SOUTH MACON DIALYSIS |
| Practice Address |
2500 2nd St Macon GA 31206-2224 |
| Mailing Address |
424 Church St Suite 1900 Nashville TN 37219-2301 |
| Practice Telephone | 4787431243 |
| Practice Fax Number | 4787439405 |
| Mailing Telephone | 6157778200 |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2015-09-15 |
| Authorized Official Name | MR. JAY YALOWITZ (EVP) |
| Authorized Official Telephone | 6157778200 |
| Is Organization Subpart | Y |
| Parent Organization Name | DIALYSIS NEWCO, 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 |
|---|---|
| DSI South Macon 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 |
| 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 |
| 1770970147 | Dsi Macon, LLC | Clinic/Center | 91 Martin Luther King Jr Dr, Forsyth, GA 31029-1648 | 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 |
2500 2ND ST |
| City | MACON |
| State | GA |
| Zip Code | 31206-2224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598877300 | Bio-medical Applications of Georgia Inc | Clinic/Center | 2500 2nd St, Macon, GA 31206-2224 | 2006-08-31 |
| 1740556216 | Dialysis Newco Inc | Clinic/Center | 2500 2nd St, Macon, GA 31206-2224 | 2012-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992267892 | Andel Anthony Higgins | Family Medicine | 3780 Eisenhower Parkway, Macon, GA 31206 | 2019-04-01 |
| 1437651924 | Amanda Mckenzie | Clinic/Center | Us Renal Care 657 Hemlock Street, Macon, GA 31206 | 2018-03-01 |
| 1003337718 | Shantha Tyhessia Jones | Home Health | 2453 Shea Drive, Macon, GA 31206 | 2017-07-03 |
| 1043683527 | Autumn Anderson Lucas | Nurse Practitioner | 100 University Parkway, Macon, GA 31206 | 2015-11-05 |
| 1306273651 | Monique Whipple | Speech-Language Pathologist | 164 Summer Grove Lane, Macon, GA 31206 | 2013-10-02 |
| 1710956750 | Total Renal Care Inc | Clinic/Center | 2494 2nd St, Macon, GA 31206 | 2006-03-14 |
| 1396710828 | Ruth Macphie Hagemann | Counselor | 100 University Pkwy, Macon, GA 31206 | 2006-02-20 |
| 1609861129 | Rickey Harton Jr. | Optometrist | 3353 Mercer University Drive, Macon, GA 31206 | 2005-09-12 |
| 1104453711 | Lise Wendy Forestal | Student in an Organized Health Care Education/Training Program | 3780 Eisenhower Parkway, Macon, GA 31206 | 2020-03-24 |
| 1346702172 | Alayna Dukes | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206 | 2019-04-01 |
| Find all providers in zip 31206 | ||||
| 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 |
|---|---|---|---|---|
| 1265058275 | Dialysis Care Center Pleasant Hill LLC | Clinic/Center | 1425 Georgia Ave Ste 102, Macon, GA 31201-6546 | 2020-06-25 |
| 1952819419 | Putnam Dialysis LLC | Clinic/Center | 657 Hemlock Street, Suite 200, Macon, GA 31201 | 2018-01-18 |
| 1396257010 | Leawood Dialysis LLC | Clinic/Center | 640 Martin Luther King Jr Blvd Ste 100, Macon, GA 31201-3297 | 2017-11-03 |
| 1699298794 | Macon Eastside Dialysis Center LLC | Clinic/Center | 640 North Ave Ste H, Macon, GA 31211-1455 | 2017-07-20 |
| 1881080950 | Dsi Macon, LLC | Clinic/Center | 657 Hemlock St Ste 100, Macon, GA 31201-8331 | 2015-04-15 |
| 1073910485 | Macon Southside Dialysis Center LLC | Clinic/Center | 2117 Eisenhower Pkwy, Macon, GA 31206-3185 | 2014-12-01 |
| 1891194783 | Dialysis Clinic Inc | Clinic/Center | 1203 N. Missouri St, Macon, MO 63552 | 2014-08-18 |
| 1962825844 | Georgia Kidney Institute,llc | Clinic/Center | 1625 Hardeman Ave, Macon, GA 31201-1417 | 2014-01-28 |
| 1598877300 | Bio-medical Applications of Georgia Inc | Clinic/Center | 2500 2nd St, Macon, GA 31206-2224 | 2006-08-31 |
| 1114039948 | Bio-medical Applications of Georgia Inc | Clinic/Center | 280 Clinton St, Macon, GA 31217-3954 | 2006-08-31 |
| Find all providers in MACON | ||||
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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.