DIALYSIS CLINIC INC. (NPI# 1336172717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336172717 |
| Entity Type | Organization |
| Organization Name | DIALYSIS CLINIC INC. |
| Practice Address |
558 Medlock Rd Decatur GA 30030-1512 |
| Practice Telephone | 4043710499 |
| Practice Fax Number | 4043711197 |
| Mailing Telephone | 4043710499 |
| Mailing Fax Number | 4043711197 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2019-04-10 |
| Authorized Official Name | MR. WILLIAM E. WOOD II (PRESIDENT) |
| Authorized Official Telephone | 6153273061 |
| 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 |
ESRD001003 | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000689224A | 05 | |
| GA | 00689224B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598383259 | Dialysis Clinic Inc. | Clinic/Center | 6146 Wurzbach Road, San Antonio, TX 78238 | 2020-07-09 |
| 1922346147 | Dialysis Clinic Inc. | Clinic/Center | 2800 W 10th St, Suite 510, Little Rock, AR 72204-2206 | 2013-01-23 |
| 1477807139 | Dialysis Clinic Inc. | Clinic/Center | 1545 Meadowview Rd, Suites 130 - 180, Sacramento, CA 95832-1081 | 2012-11-02 |
| 1093077406 | Dialysis Clinic Inc. | Clinic/Center | 1725 Isleta Blvd, Sw, Albuquerque, NM 87105 | 2012-06-12 |
| 1548527252 | Dialysis Clinic Inc. | Clinic/Center | 29 Mitylene Park Lane, Montgomery, AL 36117-7303 | 2012-04-19 |
| 1174811657 | Dialysis Clinic Inc. | Clinic/Center | 176 Washington Avenue Ext, Suite 100, Albany, NY 12203-5300 | 2011-07-18 |
| 1437445293 | Dialysis Clinic Inc. | Clinic/Center | 5300 Archdale Blvd, North Charleston, SC 29418-3343 | 2011-06-21 |
| 1336443282 | Dialysis Clinic Inc. | Clinic/Center | 275 South Orchard, Ukiah, CA 95482-5016 | 2011-01-07 |
| 1518271790 | Dialysis Clinic Inc. | Clinic/Center | 822 Wild Ave., Evergreen, AL 36401-2545 | 2010-07-30 |
| 1710200274 | Dialysis Clinic Inc. | Clinic/Center | 1912 Cherry St., Montgomery, AL 36107-2607 | 2010-03-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | DIALYSIS CLINIC INC | 1633 Church St., Ste 500, Nashville, TN 37203 |
| Street Address |
558 MEDLOCK RD |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-1512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801124375 | Tana Catheryn Hall | Counselor | 558 Medlock Rd, Suite B, Decatur, GA 30030-6603 | 2009-11-21 |
| 1699941450 | Dorothy M Davis-hutto | Counselor | 558 Medlock Rd, Suite B, Decatur, GA 30030-1512 | 2008-05-01 |
| 1386788321 | Decatur Recovery Services, Inc. | Counselor | 558 Medlock Rd, Suite B, Decatur, GA 30030-1512 | 2007-02-15 |
| 1821002791 | Cynthia Lee Bockwitz | Counselor | 558 Medlock Rd, Suite A, Decatur, GA 30030-1512 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
| Find all providers in zip 30030 | ||||
| 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 |
|---|---|---|---|---|
| 1871080465 | Renal Treatment Centers - Mid-atlantic Inc | Clinic/Center | 5360 Snapfinger Woods Dr Ste 102, Decatur, GA 30035-4046 | 2018-04-18 |
| 1396270906 | Dialysis Services of Decatur LLC | Clinic/Center | 2705 Highway 31 S, Decatur, AL 35603-1507 | 2017-04-21 |
| 1760839922 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 2834 Spring Ave Sw, Decatur, AL 35603-1218 | 2016-05-18 |
| 1295108983 | Total Renal Care Inc | Clinic/Center | 2442 Wesley Chapel Rd, Decatur, GA 30035-3420 | 2015-11-04 |
| 1942672423 | Odiorne Dialysis LLC | Clinic/Center | 2460 Wesley Chapel Rd, Ste 25d, Decatur, GA 30035-3420 | 2015-10-23 |
| 1699165290 | Dsi Dekalb, LLC | Clinic/Center | 4570 Memorial Dr Ste B, Decatur, GA 30032-1444 | 2015-02-03 |
| 1972746204 | Emory Dialysis, LLC | Clinic/Center | 2726 Candler Rd, Decatur, GA 30034-1410 | 2009-04-16 |
| 1962676155 | Total Renal Care Inc | Clinic/Center | 5255 Snapfinger Park Dr Ste 115, Decatur, GA 30035-4066 | 2008-04-17 |
| 1871712927 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 2721 Irvin Way, Decatur, GA 30030-1720 | 2007-04-25 |
| 1730242538 | Decatur Hospital Authority | Clinic/Center | 2150 S Fm 51, Decatur, TX 76234 | 2006-12-19 |
| Find all providers in DECATUR | ||||
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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.