EMORY DIALYSIS, LLC (NPI# 1013142843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013142843 |
| Entity Type | Organization |
| Organization Name | EMORY DIALYSIS, LLC |
| Other Organization Name | EMORY DIALYSIS AT NORTHSIDE |
| Practice Address |
610 Northside Dr Nw Atlanta GA 30318-6927 |
| Mailing Address |
Po Box 116241 Atlanta GA 30368-6241 |
| Practice Telephone | 4047781050 |
| Practice Fax Number | 4048921878 |
| Mailing Telephone | 2293873527 |
| Mailing Fax Number | 2293862149 |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2017-08-01 |
| Authorized Official Name | MR. ADAM J TRIBBETT (DIRECTOR, MEDICAL STAFF SERVICES) |
| Authorized Official Telephone | 4047785294 |
| Authorized Official Credential | JD/MHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 943588192A | 05 |
| Other Name | Type Code |
|---|---|
| Emory Dialysis at Northside | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477985992 | Emory Dialysis, LLC | Clinic/Center | 5673 Peachtree Dunwoody Rd, Ne, Suite 501, Atlanta, GA 30342 | 2013-08-07 |
| 1972746204 | Emory Dialysis, LLC | Clinic/Center | 2726 Candler Rd, Decatur, GA 30034-1410 | 2009-04-16 |
| 1225552391 | Emory Dialysis, LLC | Clinic/Center | 2165 N Decatur Rd, Decatur, GA 30033-5307 | 2017-08-01 |
| 1184999690 | Emory Dialysis, LLC | Clinic/Center | 4500 N Shallowford Rd, Atlanta, GA 30338-6476 | 2012-03-16 |
| 1316180649 | Emory Dialysis, LLC | Clinic/Center | 2841 Greenbriar Pkwy Sw, X126, Atlanta, GA 30331-2620 | 2009-04-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EMORY DIALYSIS, LLC | 2726 Candler Rd, Decatur, GA 30034-1410 |
| Street Address |
610 NORTHSIDE DR NW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30318-6927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639459407 | Downtown Atlanta Medical Center, P.C. | Physical Medicine & Rehabilitation | 610 Northside Dr Nw, Ste. B, Atlanta, GA 30318-6927 | 2011-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970408 | Laura N Gillespie | Physician Assistant | 1800 Howell Mill Rd., Suite 450, Atlanta, GA 30318 | 2020-10-22 |
| 1639793664 | 100 Percent Chiropractic Sberger LLC | Chiropractor | 2250 Marietta Blvd, Suite 303, Atlanta, GA 30318 | 2020-06-05 |
| 1326518945 | Sharon Emancia Joseph | Nurse Practitioner | 1517 Whitehead Bluff Nw, Atlanta, GA 30318 | 2018-11-27 |
| 1124597646 | Cindy Denise Oden | Registered Nurse | 1903 Drew Dr Nw, Apt 2200, Atlanta, GA 30318 | 2018-11-14 |
| 1558838052 | Amanda Renee Wilson | Social Worker | 2118 Adams Overlook Nw, Atlanta, GA 30318 | 2018-11-01 |
| 1386135010 | Missions Possible of Atlanta Day Program LLC. | Counselor | 805 Ayrshire Cir Nw, Atlanta, GA 30318 | 2018-05-29 |
| 1295254639 | Danielle Olivia Jones | Counselor | 1391 Collier Road Nw, Apt 1304, Atlanta, GA 30318 | 2017-09-18 |
| 1104372317 | Kera Baker | Massage Therapist | 1397 B Carroll Drive Nw, Atlanta, GA 30318 | 2016-08-28 |
| 1588015648 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 1000 Techwood Dr Nw, Atlanta, GA 30318 | 2016-06-29 |
| 1104286707 | B Webb, Inc | Specialist | 1675 Lower Roswell Rd, Marietta, GA 30318 | 2016-02-25 |
| Find all providers in zip 30318 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013562818 | Menca Dialysis, LLC | Clinic/Center | 3030 Headland Dr Sw Ste C, Atlanta, GA 30311-5435 | 2019-08-08 |
| 1619475217 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 1149 Cascade Pkwy Sw, Atlanta, GA 30311-3090 | 2018-01-29 |
| 1114463601 | Total Renal Care Inc | Clinic/Center | 2045 Donald Lee Hollowell Pkwy Nw, Atlanta, GA 30318-4701 | 2017-01-09 |
| 1477985992 | Emory Dialysis, LLC | Clinic/Center | 5673 Peachtree Dunwoody Rd, Ne, Suite 501, Atlanta, GA 30342 | 2013-08-07 |
| 1558709816 | Total Renal Care Inc | Clinic/Center | 2540 Flat Shoals Rd, Atlanta, GA 30349-4314 | 2013-06-10 |
| 1295005742 | Total Renal Care Inc | Clinic/Center | 540 Central Ave Sw, Atlanta, GA 30312-2735 | 2011-12-30 |
| 1821367830 | Total Renal Care Inc | Clinic/Center | 413b Loop 59, Atlanta, TX 75551-2015 | 2011-12-20 |
| 1851594329 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 3651 Bakers Ferry Rd Sw, Atlanta, GA 30331-3712 | 2007-06-11 |
| 1417016551 | South Fulton Dialysis Center LLC | Clinic/Center | 3268 Greenbriar Pkwy Sw, Atlanta, GA 30331-2604 | 2006-12-06 |
| 1003974601 | Total Renal Care, Inc. | Clinic/Center | 448 Ralph Mcgill Blvd Ne, Atlanta, GA 30312-1217 | 2006-12-05 |
| Find all providers in ATLANTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.