FRESENIUS MEDICAL CARE GORDON COUNTY LLC
NPI 1063239325
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Calhoun, GA

NPI Status: Active since September 26, 2024

Contact Information

857 CURTIS PKWY SE
CALHOUN, GA
ZIP 30701
Phone: (706) 602-3866
Fax: (706) 602-3871

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment
  • CLIA Number: 11D2097925
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 06-25-2027

About FRESENIUS MEDICAL CARE GORDON COUNTY LLC

This page provides the complete NPI Profile along with additional information for Fresenius Medical Care Gordon County Llc, a provider established in Calhoun, Georgia operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1063239325 assigned on September 2024. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Barry L Blanton (Vice President)

NPI
1063239325
Provider Name
FRESENIUS MEDICAL CARE GORDON COUNTY LLC
Entity Type
Organization
Location Address
857 CURTIS PKWY SE CALHOUN, GA 30701
Location Phone
(706) 602-3866
Location Fax
(706) 602-3871
Mailing Address
857 CURTIS PKWY SE CALHOUN, GA 30701
Mailing Phone
(706) 602-3866
Mailing Fax
(706) 602-3871
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-26-2024
Last Update Date
09-26-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code
261QE0700X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BARRY L BLANTON

Authorized Official Title
VICE PRESIDENT
Authorized Official Phone
(781) 699-9000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D2097925
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
June 26, 2025
Certificate Expiration Date
June 25, 2027
Laboratory Director
MMUHAMMAD RASHID ISHAQUE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Fresenius Medical Care Gordon County Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063239325
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20123431834
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 4 + 3 + 1 + 8 + 3 + 4 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1063239325 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

BIO-MEDICAL APPLICATIONS OF GEORGIA, INC.

Clinic/Center

(End-Stage Renal Disease (ESRD) Treatment)

857 CURTIS PKWY SE
CALHOUN, GA
ZIP 30701

(706) 602-3866

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063239325, enumerated as an "organization" on September 26, 2024.

The provider is located at 857 CURTIS PKWY SE CALHOUN, GA 30701 and the phone number is (706) 602-3866.

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.