NRA-EATONTON, GEORGIA, LLC (NPI# 1225085004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225085004 |
| Entity Type | Organization |
| Organization Name | NRA-EATONTON, GEORGIA, LLC |
| Other Organization Name | PUTNAM DIALYSIS CENTER |
| Practice Address |
130 Hospital Perimeter Rd Eatonton GA 31024-8502 |
| Mailing Address |
1550 W. Mcewen Drive Suite 500 Franklin TN 37067-1731 |
| Practice Telephone | 7064840123 |
| Practice Fax Number | 7064840959 |
| Mailing Telephone | 6156611100 |
| Mailing Fax Number | 6155073300 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2011-02-10 |
| Authorized Official Name | MR. JON M. SUNDOCK (VICE PRESIDENT) |
| Authorized Official Telephone | 6155073307 |
| 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 |
ESRD001102 | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 028198194A | 05 | |
| GA | CLIA CERTIFICATE OF WAIVE | 11D1049747 | 01 |
| Other Name | Type Code |
|---|---|
| Putnam Dialysis Center | Doing Business As Name - Organization |
| Street Address |
130 HOSPITAL PERIMETER RD |
| City | EATONTON |
| State | GA |
| Zip Code | 31024-8502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578972329 | Touch A Life Health Care (llc) | Public Health or Welfare | 105 Troy Edwards Rd., Eatonton, GA 31024 | 2014-08-06 |
| 1275714438 | O Akhras Md PC | Clinic/Center | 120 Sparta Hwy, Eatonton, GA 31024 | 2007-11-16 |
| 1679769640 | Oconee Community Service Board | Community/Behavioral Health | 101 East Sumpter, Eatonton, GA 31024 | 2007-09-24 |
| 1548475759 | Putnam General Hospital | Medicare Defined Swing Bed Unit | 101 Lake Oconee Parkway, Eatonton, GA 31024 | 2007-05-11 |
| 1164501367 | Brian E Prell | Physical Therapist | 117 Harmony Crossing, Suite 4, Eatonton, GA 31024 | 2006-11-06 |
| 1548352982 | Herman V Barnes | Internal Medicine | 105 Ashland Pl, Eatonton, GA 31024 | 2006-09-29 |
| 1801180591 | Hannah Meigan Johnson Miller | Dentist | 104 N Lafayette St, Eatonton, GA 31024 | 2011-05-31 |
| 1649415217 | Lake Oconee Rehabilitation and Performance Center, LLC | Clinic/Center | 117 Harmony Crossing, Suite 4, Eatonton, GA 31024 | 2008-12-10 |
| 1427139310 | Thomas L Brown | Dentist | 104 N Lafayette St, Eatonton, GA 31024 | 2006-10-18 |
| 1306857032 | Putnam County Board of Health | Public Health or Welfare | 103 N Washington St, Eatonton, GA 31024 | 2006-08-10 |
| Find all providers in zip 31024 | ||||
| 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 |
|---|---|---|---|---|
| 1699286526 | Athens Kidney Center P.C. | Clinic/Center | 103 N Washington Ave, Eatonton, GA 31024-1142 | 2017-10-18 |
| 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.