MIDTOWN MACON DIALYSIS CENTER
NPI 1720035819
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Macon, GA
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
About MIDTOWN MACON DIALYSIS CENTER
This page provides the complete NPI Profile along with additional information for Midtown Macon Dialysis Center, a provider established in Macon, 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 1720035819 assigned on May 2006. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Midtown Macon Dialysis Center. The authorized official of this NPI record is Mr. Jon M. Sundock (Vice President)
- NPI
- 1720035819 Verify this NPI
- Provider Legal Name
- NRA MIDTOWN MACON GEORGIA LLC
- Other Organization Name
- MIDTOWN MACON DIALYSIS CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 657 HEMLOCK ST SUITE 100 MACON, GA 31201
- Location Phone
- (478) 742-8001
- Location Fax
- (478) 742-3608
- Mailing Address
- 1550 W. MCEWEN DRIVE SUITE 500 FRANKLIN, TN 37067
- Mailing Phone
- (615) 661-1100
- Mailing Fax
- (615) 507-3300
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-27-2006
- Last Update Date
- 07-22-2015
- Code Navigator
Location Map
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
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11D1048766 | OTHER (01) | GA | CLIA CERTIFICATE OF WAIVE |
| 655442926A | MEDICAID (05) | GA | |
| 112754 | MEDICARE OSCAR/CERTIFICATION (06) | GA |
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Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720035819, enumerated as an "organization" on May 27, 2006.
The provider is located at 657 HEMLOCK ST SUITE 100 MACON, GA 31201 and the phone number is (478) 742-8001.
Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
