BIO-MEDICAL APPLICATIONS OF GEORGIA, INC. (NPI# 1225140056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225140056 |
| Entity Type | Organization |
| Organization Name | BIO-MEDICAL APPLICATIONS OF GEORGIA, INC. |
| Other Organization Name | BMA WILLETTE WALLACE |
| Practice Address |
1717 Walton Way Augusta GA 30904-3705 |
| Practice Telephone | 7064816920 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-04-02 |
| Authorized Official Name | MARK FAWCETT (TREASURER) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
| 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 |
|---|---|
| BMA WILLETTE WALLACE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215405030 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 112 Village Walk, Dallas, GA 30132-5576 | 2018-11-09 |
| 1124503032 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 2060 Lower Roswell Rd Ste 250, Marietta, GA 30068-3388 | 2018-09-26 |
| 1679051056 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 3150 Glynn Ave, Brunswick, GA 31520-4848 | 2018-07-30 |
| 1669959888 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 130 Parkwood Cir, Carrollton, GA 30117-8353 | 2018-07-20 |
| 1619475217 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 1149 Cascade Pkwy Sw, Atlanta, GA 30311-3090 | 2018-01-29 |
| 1780196501 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 857 Curtis Pkwy Se, Calhoun, GA 30701-3688 | 2017-11-02 |
| 1972015790 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 14 Cherokee Rd Ste A, Cedartown, GA 30125-4381 | 2017-11-02 |
| 1811419567 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 1338 Veterans Memorial Hwy Sw Ste 200, Mableton, GA 30126-3116 | 2017-07-14 |
| 1588109169 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 60 Slopes Dr, Cartersville, GA 30120-7965 | 2017-01-05 |
| 1174070734 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 3441 Fence Rd, Dacula, GA 30019-1219 | 2016-09-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BIO-MEDICAL APPLICATIONS OF GEORGIA, INC. | 130 Parkwood Cir, Carrollton, GA 30117-8353 |
| Street Address |
1717 WALTON WAY |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904-3705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295837490 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 1717 Walton Way, Augusta, GA 30904-3705 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
| Find all providers in zip 30904 | ||||
| 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 |
|---|---|---|---|---|
| 1225412513 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 2470 Wrightsboro Rd, Augusta, GA 30904-6202 | 2015-07-16 |
| 1235370164 | Rai Care Centers of Georgia I LLC | Clinic/Center | 1719 Magnolia Way, Augusta, GA 30909-9482 | 2009-03-24 |
| 1508978313 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 3206 Peach Orchard Rd, Augusta, GA 30906-3540 | 2006-08-31 |
| 1316059140 | Bio-medical Applications of Georgia Inc | Clinic/Center | 1109 Medical Center Dr Bldg H, Augusta, GA 30909-6669 | 2006-08-31 |
| 1063438042 | Bio-medical Applications of Maine, Inc. | Clinic/Center | 164 Civic Center Dr, Augusta, ME 04330-8028 | 2006-07-14 |
| 1255373437 | Ara-south Augusta Clinic LLC | Clinic/Center | 1649 Gordon Hwy, Augusta, GA 30906-2220 | 2006-06-12 |
| 1073560611 | Nra-augusta, Georgia, LLC | Clinic/Center | 2841 Deans Bridge Rd, Augusta, GA 30906-2704 | 2006-05-28 |
| 1194772947 | Ara-augusta Clinic LLC | Clinic/Center | 1000 Telfair St, Augusta, GA 30901-2208 | 2006-05-27 |
| 1972572949 | Dva Healthcare Renal Care Inc | Clinic/Center | 1815 Wylds Rd, Augusta, GA 30909-4430 | 2006-03-14 |
| 1356749212 | South Augusta Dialysis Clinic LLC | Clinic/Center | 3206 Peach Orchard Rd, Augusta, GA 30906-3540 | 2014-12-09 |
| Find all providers in AUGUSTA | ||||
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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.