PUTNAM DIALYSIS CENTER
NPI 1225085004
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Eatonton, GA

Q: What is Nra-Eatonton, Georgia, LLC's NPI number?

The NPI number for Nra-Eatonton, Georgia, LLC is 1225085004. It was assigned to this organization in the NPPES registry on May 27, 2006. The provider is doing business as Putnam Dialysis Center.

Q: What is Nra-Eatonton, 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.

Active since May 27, 2006

130 HOSPITAL PERIMETER RD, EATONTON, GA 31024(706) 484-0123(706) 484-0959 Get Directions Write a Review

NPPES record last updated: February 10, 2011. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Putnam Dialysis Center NPPES

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

PUTNAM DIALYSIS CENTER (NPI 1225085004) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Eatonton, 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

NPI1225085004

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameNRA-EATONTON, GEORGIA, LLC

Location Address130 HOSPITAL PERIMETER RDEatonton, GA 31024-8502

Mailing Address1550 W. Mcewen Drive, Suite 500Franklin, TN 37067-1731 · (615) 661-1100 · Fax (615) 507-3300

Phone(706) 484-0123

Fax(706) 484-0959

Organization SubpartNo

Authorized OfficialJon M. SundockVice President · (615) 507-3307

Enumeration DateMay 27, 2006

Last NPPES UpdateFebruary 10, 2011

✔ NPI 1225085004 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 · ESRD001102

130 HOSPITAL PERIMETER RD, Eatonton, GA 31024

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Other Names 1

Doing Business AsPutnam Dialysis Center

Other Identifiers 3

Other11D1049747GA · Clia Certificate Of Waive

Medicare OSCAR/certification11-2650GA

Medicaid028198194AGA

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-Eatonton, Georgia, LLC's NPI number?

The NPI number for Nra-Eatonton, Georgia, LLC is 1225085004. It was assigned to this organization in the NPPES registry on May 27, 2006. The provider is doing business as Putnam Dialysis Center.

Where is Nra-Eatonton, Georgia, LLC located?

Nra-Eatonton, Georgia, LLC is located at 130 Hospital Perimeter Rd, Eatonton, GA 31024. The listed phone number is (706) 484-0123.

What is Nra-Eatonton, 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-Eatonton, Georgia, LLC was last updated on February 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.