WEST GEORGIA MEDICAL CENTER, INC. (NPI# 1194958421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194958421 |
| Entity Type | Organization |
| Organization Name | WEST GEORGIA MEDICAL CENTER, INC. |
| Other Organization Name | WEST GEORGIA DIALYSIS |
| Practice Address |
140 Glenn Bass Rd Lagrange GA 30240-5809 |
| Mailing Address |
1800 Parkway Pl Se Ste 500 Marietta GA 30067-8237 |
| Practice Telephone | 7068453282 |
| Practice Fax Number | 7068453474 |
| Mailing Telephone | 4709564981 |
| Mailing Fax Number | 7709992489 |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2020-02-24 |
| Authorized Official Name | MR. ANTHONY J BUDZINSKI (EVP) |
| Authorized Official Telephone | 4706440012 |
| 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 | 00409186A | 05 |
| Other Name | Type Code |
|---|---|
| West Georgia Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356664247 | West Georgia Medical Center, Inc. | Dietitian, Registered | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2010-03-05 |
| 1649403973 | West Georgia Medical Center, Inc. | Hospice, Inpatient | 1510 Vernon Rd, Lagrange, GA 30240-4131 | 2009-09-03 |
| 1558594887 | West Georgia Medical Center, Inc. | Home Health | 120 Glenn Bass Rd, Lagrange, GA 30240-5809 | 2009-09-03 |
| 1821221144 | West Georgia Medical Center, Inc. | General Acute Care Hospital | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2009-09-03 |
| 1558594879 | West Georgia Medical Center, Inc. | Skilled Nursing Facility | 200 Medical Dr, Lagrange, GA 30240-4153 | 2009-09-03 |
| 1467685784 | West Georgia Medical Center, Inc. | Skilled Nursing Facility | 1400 Hogansville Rd, Lagrange, GA 30241-1422 | 2009-09-03 |
| Street Address |
140 GLENN BASS RD |
| City | LAGRANGE |
| State | GA |
| Zip Code | 30240-5809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760757736 | Total Renal Care Inc | Clinic/Center | 140 Glenn Bass Rd, Lagrange, GA 30240-5809 | 2012-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598223844 | Urgencare, LLC | Clinic/Center | 2169 West Point Road, Suite 105, Lagrange, GA 30240 | 2019-03-06 |
| 1679075527 | Georgia Pain and Spine Care, Inc | Pain Medicine | 303 Smith St Fl 2, Lagrange, GA 30240 | 2018-03-07 |
| 1629463500 | Quoc Vinh Ngo | Emergency Medicine | Wellstar West Georgia Medical Center, 1504 Vernon Road, Lagrange, GA 30240 | 2015-03-30 |
| 1770913964 | Dell H Lawson | Counselor | 300 Medical Dr. Ste 705., Lagrange, GA 30240 | 2013-11-25 |
| 1629418793 | Mortar & Pestle, LLC | Pharmacy | 205 Vernon Street, Lagrange, GA 30240 | 2013-07-03 |
| 1336582329 | Weredeselam Menna Olango | Psychiatry & Neurology | 303 Medical Dr Ste 401, Lagrange, GA 30240 | 2013-04-10 |
| 1720333743 | Mortar and Pestle, LLC | Pharmacy | 300 Mooty Bridge Road, Lagrange, GA 30240 | 2012-07-16 |
| 1366768459 | Karin Taylor | Physical Medicine & Rehabilitation | 1600 Vernon Rd Ste A, Lagrange, GA 30240 | 2010-04-14 |
| 1871819458 | Kathryn J Hill | Counselor | 100 Smith St Ste 1, Lagrange, GA 30240 | 2010-04-08 |
| 1285802751 | Air Evac Ems, Inc. | Ambulance | 455 Aerotron Pkwy, Lagrange, GA 30240 | 2008-02-18 |
| Find all providers in zip 30240 | ||||
| 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 |
|---|---|---|---|---|
| 1205390192 | Rco of Lagrange, LLC | Clinic/Center | 109 Parker Dr, Lagrange, GA 30240-6436 | 2019-01-25 |
| 1417134206 | Nra Lagrange Georgia LLC | Clinic/Center | 140 Old Mill Road, Lagrange, GA 30241-6704 | 2008-01-24 |
| 1669584488 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 2100 Button Ln, Ste 105, Lagrange, KY 40031-7791 | 2006-08-31 |
| 1770557340 | Lagrange Troup County Hospital Authority | Clinic/Center | 140 Glenn Bass Road, Lagrange, GA 30240-5809 | 2006-02-13 |
| 1730522343 | Innovative Dialysis Centers of La Grange, LLC | Clinic/Center | 1300 Lafayette Pkwy, Suite D, Lagrange, GA 30241-2612 | 2013-04-12 |
| 1760757736 | Total Renal Care Inc | Clinic/Center | 140 Glenn Bass Rd, Lagrange, GA 30240-5809 | 2012-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871190207 | Usrc Powder Springs Home LLC | Clinic/Center | 3721 New Macland Rd Ste 100b, Powder Springs, GA 30127-2000 | 2020-10-08 |
| 1083229280 | Bio- Medical Applications of Georgia, Inc. | Clinic/Center | 145 W Hendry St, Hinesville, GA 31313-3201 | 2020-09-14 |
| 1336759463 | Plattaz Dialysis, LLC | Clinic/Center | 100 Promenade Pkwy Ste C, Fayetteville, GA 30214-7735 | 2020-08-04 |
| 1174140743 | Home Dialysis Services Norcross LLC | Clinic/Center | 3780 Holcomb Bridge Rd Ste E, Norcross, GA 30092-4877 | 2020-06-30 |
| 1265058275 | Dialysis Care Center Pleasant Hill LLC | Clinic/Center | 1425 Georgia Ave Ste 102, Macon, GA 31201-6546 | 2020-06-25 |
| 1598389132 | Concerto Georgia LLC | Clinic/Center | 655 Exchange Cir Ste 100, Bethlehem, GA 30620-1767 | 2020-05-29 |
| 1629607098 | Rutledge Dialysis, LLC | Clinic/Center | 1719 New Hope Rd, Lawrenceville, GA 30045-6570 | 2020-04-07 |
| 1215562293 | Dialysis Clinic Inc | Clinic/Center | 1219 S. Martin Luther King Blvd., Americuse, GA 31719 | 2020-03-10 |
| 1659915882 | Filmore Dialysis, LLC | Clinic/Center | 4555 Atlanta Hwy Ste M, Loganville, GA 30052-2646 | 2019-10-31 |
| 1013562818 | Menca Dialysis, LLC | Clinic/Center | 3030 Headland Dr Sw Ste C, Atlanta, GA 30311-5435 | 2019-08-08 |
| Find all providers with the same taxonomy | ||||
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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.