BMA WILLETTE WALLACE
NPI 1225140056
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Augusta, GA
About Bma Willette Wallace NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BMA WILLETTE WALLACE (NPI 1225140056) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Augusta, Georgia and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through June 27, 2028 and lists Mark Fawcett, Treasurer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 11D1001032
Bio-Medical Applications Of Georgia, Inc · Augusta, GAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AUGUSTA, GA 30904
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 Bio-Medical Applications Of Georgia, Inc.'s NPI number?
The NPI number for Bio-Medical Applications Of Georgia, Inc. is 1225140056. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as Bma Willette Wallace.
Where is Bio-Medical Applications Of Georgia, Inc. located?
Bio-Medical Applications Of Georgia, Inc. is located at 1717 Walton Way, Augusta, GA 30904. The listed phone number is (706) 481-6920.
What is Bio-Medical Applications Of Georgia, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.
Does Bio-Medical Applications Of Georgia, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D1001032) is associated with this NPI, valid through June 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Bio-Medical Applications Of Georgia, Inc. was last updated on April 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Bma Willette Wallace · NPI 1225140056
End-Stage Renal Disease (ESRD) Treatment organization in Augusta, Georgia. Organization record, active in the CMS NPPES registry since August 31, 2006.
## Identity
- **NPI:** 1225140056 (Entity type: Organization)
- **Enumerated:** August 31, 2006
- **Primary specialty:** Clinic/Center - End-Stage Renal Disease (ESRD) Treatment · taxonomy 261QE0700X
- **Legal business name:** Bio-Medical Applications Of Georgia, Inc.
- **Organization subpart:** Yes (part of Fresenius Medical Care Holdings, Inc.)
- **Authorized official:** Mark Fawcett, TREASURER
## Practice location
- **Address:** 1717 WALTON WAY, Augusta, GA 30904-3705
- **Phone:** (706) 481-6920
## Record status
- **NPPES last updated:** April 2, 2009
- **Other identifiers:** Medicare OSCAR/certification 112521
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1225140056) · Data from the CMS NPPES public registry.