RENAL CARE GROUP OF THE SOUTH, INC. (NPI# 1164534988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164534988 |
| Entity Type | Organization |
| Organization Name | RENAL CARE GROUP OF THE SOUTH, INC. |
| Other Organization Name | RCG MARTINSVILLE |
| Practice Address |
429 Commonwealth Blvd E Martinsville VA 24112-2014 |
| Practice Telephone | 2766327091 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARK FAWCETT (TREASURER) |
| Authorized Official Telephone | 7814029000 |
| 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 |
| Other Name | Type Code |
|---|---|
| RCG MARTINSVILLE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215097332 | Renal Care Group of The South, Inc. | Clinic/Center | 1702 Highway 86n, Yanceyville, NC 27379 | 2006-12-11 |
| 1528170347 | Renal Care Group of The South, Inc. | Clinic/Center | 129 Broad St, Suite C, Danville, VA 24541-2301 | 2006-08-31 |
| 1346352168 | Renal Care Group of The South, Inc. | Clinic/Center | 221 Rich Creek Dr, Stuart, VA 24171-5027 | 2006-08-31 |
| 1437261252 | Renal Care Group of The South, Inc. | Clinic/Center | 2043 Hamilton Blvd, South Boston, VA 24592-2141 | 2006-08-31 |
| 1033526272 | Renal Care Group of The South, Inc. | Clinic/Center | 1040 Main St, Suite B, Danville, VA 24541-1816 | 2014-07-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | Renal Care Group of the South, Inc. | 920 Winter Street , Waltham, MA 02451-1521 |
| Virginia Business Entity | Renal Care Group of the South, Inc. | 920 WINTER ST , WALTHAM, MA 02451 |
| Street Address |
429 COMMONWEALTH BLVD E |
| City | MARTINSVILLE |
| State | VA |
| Zip Code | 24112-2014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760030795 | Joshua B Tucker | Nurse Practitioner | 429 Commonwealth Blvd E, Martinsville, VA 24112-2014 | 2019-09-03 |
| 1437243656 | Vishwanath N Halukurike | Internal Medicine | 429 Commonwealth Blvd E, Martinsville, VA 24112-2014 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205327038 | Martinsville Transit, LLC | Taxi | 807 Barrows Mill Rd Apt E, Martinsville, VA 24112 | 2018-05-29 |
| 1699279422 | Terry Michelle Hamdy | Nurse Practitioner | 110 Commonwealth Blvd, Martinsville, VA 24112 | 2018-03-19 |
| 1780184523 | Susan Fullerton | Speech-Language Pathologist | 288 Lancer Lane, Martinsville, VA 24112 | 2018-02-19 |
| 1164920062 | Aesthetic & Family Dental of Martinsville PC | Dentist | 5 Dudley Street, Martinsville, VA 24112 | 2018-01-25 |
| 1124537410 | Hamdy Medical Center, PC | Clinic/Center | 110 W Commonwealth Blvd, Martinsville, VA 24112 | 2017-09-29 |
| 1588180483 | Olton Swanson | Driver | 1440 Rivermount Heights, Martinsville, VA 24112 | 2017-08-22 |
| 1639610686 | Stephanie Hairston | Non-emergency Medical Transport (VAN) | 912 Brookdale St, Ste 1, Martinsville, VA 24112 | 2017-03-10 |
| 1194182790 | Jns Home Healthcare Services | In Home Supportive Care | 708 Berkshire Place, Martinsville, VA 24112 | 2016-01-27 |
| 1033506654 | Caring Hearts Counseling LLC | Community/Behavioral Health | 624 East Church, Suite B, Martinsville, VA 24112 | 2015-04-21 |
| 1073915559 | Shirley Jackson | Occupational Therapy Assistant | 170 Village Court, Martinsville, VA 24112 | 2014-09-16 |
| Find all providers in zip 24112 | ||||
| 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 |
|---|---|---|---|---|
| 1467567222 | Fresenius Medical Care Nephrology and Internal Medicine Dialysis Cente | Clinic/Center | 2084 Hospital Dr, Martinsville, IN 46151-1805 | 2006-08-20 |
| 1316901457 | Dva Healthcare Renal Care Inc | Clinic/Center | 33 Bridge St S, Martinsville, VA 24112-6227 | 2006-04-14 |
| 1982927109 | Fresenius Medical Care Nephrology and Internal Medicine Dialysis Cen | Clinic/Center | 2084 Hospital Dr, Martinsville, IN 46151-1805 | 2010-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497363253 | Fresenius Medical Care Kempsville Home, LLC | Clinic/Center | 6161 Kempsville Cir Ste B, Norfolk, VA 23502-3932 | 2020-07-17 |
| 1760004360 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 7525 Tidewater Dr Ste 37, Norfolk, VA 23505-3700 | 2020-05-18 |
| 1871113746 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 165 Market St Ste 6, Onancock, VA 23417-4233 | 2020-04-21 |
| 1447889399 | Legacy Dialysis of Virginia | Clinic/Center | 211 Gibson St Nw Ste 209, Leesburg, VA 20176-2115 | 2020-04-03 |
| 1457907917 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 570 Westgate Shopping Ctr, Bedford, VA 24523-2643 | 2019-08-12 |
| 1306492848 | Renal Treatment Centers- Mid-atlantic, Inc. | Clinic/Center | 145 Holt Garrison Pkwy Ste 340, Danville, VA 24540-5956 | 2019-08-12 |
| 1043873664 | Branbur Dialysis LLC | Clinic/Center | 4650 Puddledock Rd, Prince George, VA 23875-1235 | 2019-04-18 |
| 1811454226 | Mohansic Dialysis, LLC | Clinic/Center | 8123 Richmond Hwy, Alexandria, VA 22309-3613 | 2019-02-22 |
| 1720552110 | Shawano Dialysis, LLC | Clinic/Center | 13859 Village Place Dr, Midlothian, VA 23114-3503 | 2019-01-18 |
| 1528533171 | Gansett Dialysis, LLC | Clinic/Center | 8605 Westwood Center Dr Ste 100, Vienna, VA 22182-2231 | 2018-10-10 |
| Find all providers with the same taxonomy | ||||
| City | MARTINSVILLE |
| Zip Code | 24112 |
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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.