1. Home
  2. Directory
  3. Georgia
  4. Lagrange
  5. Clinic Center
  6. NPI Profile

WEST GEORGIA DIALYSIS
NPI 1770557340
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Lagrange, GA

Active since February 13, 2006
140 GLENN BASS ROAD, LAGRANGE, GA 30240(706) 845-3282(706) 845-3474 Get Directions Write a Review

NPPES record last updated: November 5, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About West Georgia Dialysis NPPES

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

WEST GEORGIA DIALYSIS (NPI 1770557340) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Lagrange, Georgia and active in the NPI registry since February 2006. The organization lists Gerald N Fulks, President Ceo, as its authorized official.

NPPES Registry Identity

NPI1770557340
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameLAGRANGE TROUP COUNTY HOSPITAL AUTHORITY
Location Address140 GLENN BASS ROADLagrange, GA 30240-5809
Mailing Address1514 Vernon RdLagrange, GA 30240-4131 · (706) 845-3728 · Fax (706) 845-3902
Phone(706) 845-3282
Fax(706) 845-3474
Organization SubpartNo
Authorized OfficialGerald N FulksPresident Ceo · (706) 845-3244
Enumeration DateFebruary 13, 2006
Last NPPES UpdateNovember 5, 2007
✔ NPI 1770557340 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
140 GLENN BASS ROAD, Lagrange, GA 30240
Open in Google Maps ↗

Other Names 1

Doing Business AsWest Georgia Dialysis

Other Identifiers 2

Medicaid00409186AGA
Medicare OSCAR/certification112311GA

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 Lagrange Troup County Hospital Authority's NPI number?

The NPI number for Lagrange Troup County Hospital Authority is 1770557340. It was assigned to this organization in the NPPES registry on February 13, 2006. The provider is doing business as West Georgia Dialysis.

Where is Lagrange Troup County Hospital Authority located?

Lagrange Troup County Hospital Authority is located at 140 Glenn Bass Road, Lagrange, GA 30240. The listed phone number is (706) 845-3282.

What is Lagrange Troup County Hospital Authority'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 Lagrange Troup County Hospital Authority was last updated on November 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.