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MONTICELLO DIALYSIS CENTER
NPI 1245287358
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Monticello, GA

Active since May 27, 2006
1393 FUNDERBURG DR, MONTICELLO, GA 31064(706) 468-1240(706) 468-5300 Get Directions Write a Review

NPPES record last updated: July 22, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Monticello Dialysis Center NPPES

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

MONTICELLO DIALYSIS CENTER (NPI 1245287358) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Monticello, 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

NPI1245287358
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameNRA MONTICELLO GEORGIA LLC
Location Address1393 FUNDERBURG DRMonticello, GA 31064-6818
Mailing Address1550 W. Mcewen Drive, Suite 500Franklin, TN 37067-1731 · (615) 661-1100 · Fax (615) 507-3300
Phone(706) 468-1240
Fax(706) 468-5300
Organization SubpartNo
Authorized OfficialJon M. SundockVice President · (615) 507-3307
Enumeration DateMay 27, 2006
Last NPPES UpdateJuly 22, 2015
✔ NPI 1245287358 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 · ESRD001221
1393 FUNDERBURG DR, Monticello, GA 31064
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Other Names 1

Doing Business AsMonticello Dialysis Center

Other Identifiers 3

Medicare OSCAR/certification112726GA
Other11D1049750GA · Clia Certificate Of Waive
Medicaid419934334AGA

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 Monticello Georgia LLC's NPI number?

The NPI number for Nra Monticello Georgia LLC is 1245287358. It was assigned to this organization in the NPPES registry on May 27, 2006. The provider is doing business as Monticello Dialysis Center.

Where is Nra Monticello Georgia LLC located?

Nra Monticello Georgia LLC is located at 1393 Funderburg Dr, Monticello, GA 31064. The listed phone number is (706) 468-1240.

What is Nra Monticello 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 Monticello 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.