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EISENHOWER PARKWAY DIALYSIS CENTER
NPI 1033165154
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Macon, GA

Active since May 26, 2006
2525 2ND ST, MACON, GA 31206(478) 738-0420(478) 745-0460 Get Directions Write a Review

NPPES record last updated: July 22, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eisenhower Parkway Dialysis Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EISENHOWER PARKWAY DIALYSIS CENTER (NPI 1033165154) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Macon, Georgia and active in the NPI registry since May 2006. The organization lists Jon M. Sundock, Vice President, as its authorized official.

NPPES Registry Identity

NPI1033165154
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameNRA MACON GEORGIA LLC
Location Address2525 2ND STMacon, GA 31206-2223
Mailing Address1550 W. Mcewen Drive, Suite 500Franklin, TN 37067-1731 · (615) 661-1100 · Fax (615) 507-3300
Phone(478) 738-0420
Fax(478) 745-0460
Organization SubpartYesParent: Rai Ii, Llc
Authorized OfficialJon M. SundockVice President · (615) 507-3307
Enumeration DateMay 26, 2006
Last NPPES UpdateJuly 22, 2015
✔ NPI 1033165154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
License✔ Licensed in GA · ESRD001230
2525 2ND ST, Macon, GA 31206
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Other Names 1

Doing Business AsEisenhower Parkway Dialysis Center

Other Identifiers 3

Other11D1049748GA · Clia Certificate Of Waive
Medicaid813786518AGA
Medicare OSCAR/certification112754GA

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. COURTNEY REEVES AGNP-C
Nurse Practitioner (Gerontology)
2525 2ND ST, SUITE 150
MACON, GA 31206
Bibb County (478) 254-7353
DSI MACON, LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2525 2ND ST
MACON, GA 31206
Bibb County (478) 738-0420
FRANKLIN ENRIQUE FUENMAYOR-CARDOZO M.D.
Internal Medicine (Nephrology)
2525 2ND ST, STE 150
MACON, GA 31206
Bibb County (478) 254-7353

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nra Macon Georgia LLC's NPI number?

The NPI number for Nra Macon Georgia LLC is 1033165154. It was assigned to this organization in the NPPES registry on May 26, 2006. The provider is doing business as Eisenhower Parkway Dialysis Center.

Where is Nra Macon Georgia LLC located?

Nra Macon Georgia LLC is located at 2525 2nd St, Macon, GA 31206. The listed phone number is (478) 738-0420.

What is Nra Macon Georgia LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

When was this NPI record last updated?

The NPPES record for Nra Macon Georgia LLC was last updated on July 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.