HOGANSVILLE DIALYSIS CLINIC
NPI 1497703078
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Hogansville, GA

Active since May 05, 2006
1002 WILLIAMS STREET, HOGANSVILLE, GA 30230(706) 637-4028(706) 637-4382 Get Directions Write a Review

NPPES record last updated: February 10, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hogansville Dialysis Clinic NPPES

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

HOGANSVILLE DIALYSIS CLINIC (NPI 1497703078) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Hogansville, 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

NPI1497703078
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameNRA-HOGANSVILLE, GEORGIA, LLC
Location Address1002 WILLIAMS STREETHogansville, GA 30230
Mailing Address1550 W. Mcewen Drive, Suite 500Franklin, TN 37067-1731 · (615) 661-1100 · Fax (615) 507-3300
Fax(706) 637-4382
Organization SubpartNo
Authorized OfficialJon M. SundockVice President · (615) 507-3307
Enumeration DateMay 5, 2006
Last NPPES UpdateFebruary 10, 2011
NPI 1497703078 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 · PENDING
1002 WILLIAMS STREET, Hogansville, GA 30230

Other Names 1

Doing Business AsHogansville Dialysis Clinic

Other Identifiers 2

Other11D1054263GA · Clia Cert Of Waiver
Medicare ID-Type Unspecified11-2769GA · Medicare Provider Number

Accepted Insurance

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-Hogansville, Georgia, LLC's NPI number?

The NPI number for Nra-Hogansville, Georgia, LLC is 1497703078. It was assigned to this organization in the NPPES registry on May 5, 2006. The provider is doing business as Hogansville Dialysis Clinic.

Where is Nra-Hogansville, Georgia, LLC located?

Nra-Hogansville, Georgia, LLC is located at 1002 Williams Street, Hogansville, GA 30230. The listed phone number is (706) 637-4028.

What is Nra-Hogansville, 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.

What insurance does Nra-Hogansville, Georgia, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Nra-Hogansville, Georgia, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nra-Hogansville, 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.