EMORY DIALYSIS, LLC (NPI# 1184999690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184999690 |
| Entity Type | Organization |
| Organization Name | EMORY DIALYSIS, LLC |
| Other Organization Name | EMORY DIALYSIS AT DUNWOODY |
| Practice Address |
4500 N Shallowford Rd Atlanta GA 30338-6476 |
| Mailing Address |
Po Box 116241 Atlanta GA 30368-6241 |
| Practice Telephone | 2293873527 |
| Mailing Telephone | 2293873527 |
| Mailing Fax Number | 2293862149 |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2012-03-16 |
| Authorized Official Name | MS. DOROTHY F COOK-WALTER (DIRECTOR OF SYSTEM CREDENTIALING) |
| Authorized Official Telephone | 4047785014 |
| Authorized Official Credential | RN,MN,JD,CPQH,CP |
| 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 |
|---|---|
| Emory Dialysis at Dunwoody | 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 |
| 1013142843 | Emory Dialysis, LLC | Clinic/Center | 610 Northside Dr Nw, Atlanta, GA 30318-6927 | 2009-05-22 |
| 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 |
| 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 |
4500 N SHALLOWFORD RD |
| City | ATLANTA |
| State | GA |
| Zip Code | 30338-6476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285623850 | Dunwoody Physician Practice Network Inc | Orthopaedic Surgery | 4500 N Shallowford Rd, Suite 500, Atlanta, GA 30338-6476 | 2005-10-17 |
| 1033766076 | Anagha Cupples | Registered Nurse | 4500 N Shallowford Rd, Atlanta, GA 30338-6476 | 2019-08-23 |
| 1205399169 | David Tyler Shields Neuberger | Family Medicine | 4500 N Shallowford Rd, Atlanta, GA 30338-6476 | 2019-04-08 |
| 1053873612 | Lonnie Nicholas Russell | Student in an Organized Health Care Education/Training Program | 4500 N Shallowford Rd, Atlanta, GA 30338-6476 | 2019-04-03 |
| 1801358494 | Ify Nneka Nzenwa | Student in an Organized Health Care Education/Training Program | 4500 N Shallowford Rd, Atlanta, GA 30338-6476 | 2019-04-02 |
| 1508363763 | Heba Gill Chaudhry | Student in an Organized Health Care Education/Training Program | 4500 N Shallowford Rd, Atlanta, GA 30338 | 2018-04-12 |
| 1710483938 | Ruth W Wei | Family Medicine | 4500 N Shallowford Rd, Atlanta, GA 30338 | 2018-04-05 |
| 1801321104 | Kevin Roy Pharris | Student in an Organized Health Care Education/Training Program | 4500 N Shallowford Rd, Suite B, Atlanta, GA 30338-6476 | 2017-04-24 |
| 1821522855 | Juan-manuel Duran | Student in an Organized Health Care Education/Training Program | 4500 N Shallowford Rd, Suite B, Atlanta, GA 30338-6476 | 2017-04-17 |
| 1639533581 | Aparna Mark | Family Medicine | 4500 N Shallowford Rd, Suite B, Atlanta, GA 30338-6476 | 2016-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629606264 | Jasmine Donesha Shackelford | Student in an Organized Health Care Education/Training Program | Emory Family Medicine, 4500 North Shallowford Road, Atlanta, GA 30338 | 2020-03-30 |
| 1558907774 | Brianna Harding | Pharmacist | 4608 Devonshire Road, Dunwoody, GA 30338 | 2019-11-22 |
| 1194382135 | Kadan Corporation | In Home Supportive Care | 1848 Independence Square, Suite A, Dunwoody, GA 30338 | 2019-05-24 |
| 1144789553 | Carla Fabiola Nunez | Dentist | 5200 Roberts Dr, Atlanta, GA 30338 | 2019-03-15 |
| 1861978793 | Uhs of Peachford Lp | Pharmacy | 2150 Peachford Rd Ste D, Atlanta, GA 30338 | 2018-07-13 |
| 1275047474 | Mary Rose Ziemba | Physical Therapist | 4516 Chamblee Dunwoody Rd # 22, Dunwoody, GA 30338 | 2017-11-27 |
| 1992223531 | Joel Moorhead | Physical Medicine & Rehabilitation | 1521 Eidson Hall Drive, Dunwoody, GA 30338 | 2017-09-05 |
| 1336667997 | Absolute Holistic Medicine | Clinic/Center | 1868 Independence Sq, Suite A, Atlanta, GA 30338 | 2017-09-05 |
| 1164947115 | Modern Dermatology Atlanta | Dermatology | 5696 Whitehall Walk, Dunwoody, GA 30338 | 2017-08-11 |
| 1366972150 | A Caring Approach To Home Health Services Inc. | In Home Supportive Care | 200 Ashford Center North, Suite 370, Atlanta, GA 30338 | 2017-06-14 |
| Find all providers in zip 30338 | ||||
| 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 |
| 1013142843 | Emory Dialysis, LLC | Clinic/Center | 610 Northside Dr Nw, Atlanta, GA 30318-6927 | 2009-05-22 |
| 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 |
| 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.