DUBLIN DIALYSIS CENTER LLC (NPI# 1396023404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396023404 |
| Entity Type | Organization |
| Organization Name | DUBLIN DIALYSIS CENTER LLC |
| Practice Address |
2400 Bellevue Rd Suite 29a Dublin GA 31021-2885 |
| Practice Telephone | 4783041501 |
| Practice Fax Number | 4783041505 |
| Mailing Telephone | 4783041501 |
| Mailing Fax Number | 4783041505 |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2020-03-16 |
| Authorized Official Name | SHARI K COUSINS (SR. VP OF CLINICAL & REGULATORY) |
| Authorized Official Telephone | 9789223080 |
| 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 | 003119918A | 05 |
| Street Address |
2400 BELLEVUE RD SUITE 29A |
| City | DUBLIN |
| State | GA |
| Zip Code | 31021-2885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538167523 | Tonya B Nicholson | Advanced Practice Midwife | 2400 Bellevue Rd, Erin Office Suite 26, Dublin, GA 31021-2885 | 2005-07-13 |
| 1619576253 | Rachel Westerbeck | Physician Assistant | 2400 Bellevue Rd, Dublin, GA 31021-2885 | 2020-10-24 |
| 1750906103 | Brandon Brown | Dentist | 2400 Bellevue Rd, Dublin, GA 31021-2885 | 2020-06-11 |
| 1942747274 | Jill Pavesich | Nurse Practitioner | 2400 Bellevue Rd, Suite 26, Dublin, GA 31021-2885 | 2017-01-25 |
| 1457759508 | Family Dentistry of Dublin, P.C. | Dentist | 2400 Bellevue Rd, #24, Dublin, GA 31021-2885 | 2014-12-05 |
| 1851724256 | Billy H Moses Jr Md LLC | Surgery | 2400 Bellevue Rd, #11 Erin Office Park, Dublin, GA 31021-2885 | 2013-08-21 |
| 1508124249 | Dublin Womens Center | Obstetrics & Gynecology | 2400 Bellevue Rd, Erin Office Park 26, Dublin, GA 31021-2885 | 2012-05-01 |
| 1659670982 | Kathryn Falk Johnson | Optometrist | 2400 Bellevue Rd, 18 Erin Office Park, Dublin, GA 31021-2885 | 2011-03-25 |
| 1770894867 | Felicia Fountain | Ophthalmology | 2400 Bellevue Rd, 18 Erin Office Park, Dublin, GA 31021-2885 | 2010-06-23 |
| 1447447933 | Harsha Vyas | Internal Medicine | 2400 Bellevue Rd, Suite 26 Erin Office Park, Dublin, GA 31021-2885 | 2007-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
| 1902384811 | Nieka Jackson | Pharmacist | 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 | 2018-08-02 |
| 1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
| 1619462207 | Kara Emily Frost | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021 | 2018-06-26 |
| 1376035410 | Owens Speech Services, LLC | Speech-Language Pathologist | 401 Barfield Court, Dublin, GA 31021 | 2018-06-05 |
| 1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
| 1376991000 | Eatonton Facility Development Company, LLC | Hospice, Inpatient | 155 Greensboro Rd, Eatonton, GA 31021 | 2016-06-03 |
| 1801261177 | Jones Community Health Center, LLC | Clinic/Center | 115 Shadow Pond, Dublin, GA 31021 | 2015-12-11 |
| 1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
| 1922477249 | Mickey Jackson | Non-emergency Medical Transport (VAN) | 610 John Robinson Tl., Dublin, GA 31021 | 2015-09-16 |
| Find all providers in zip 31021 | ||||
| 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 |
|---|---|---|---|---|
| 1619473352 | Dublin Kidney Institute | Clinic/Center | 207 Industrial Blvd, Dublin, GA 31021-2903 | 2018-04-02 |
| 1609207372 | Nxstage Columbus LLC | Clinic/Center | 5665 Woerner Temple Rd, Dublin, OH 43016-7188 | 2013-12-06 |
| 1649436775 | Total Renal Care Inc | Clinic/Center | 1016 Claxton Dairy Rd, Ste 1a, Dublin, GA 31021-7971 | 2008-07-29 |
| 1770768673 | Rna Davita Dialysis LLC | Clinic/Center | 6770 Perimeter Dr, Dublin, OH 43016-8063 | 2008-01-09 |
| 1932396967 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 6670 Perimeter Dr Ste 180, Dublin, OH 43016-8042 | 2007-10-03 |
| 1043289044 | Dva Renal Healthcare Inc | Clinic/Center | 2400 Bellevue Rd Ste 8, Dublin, GA 31021-2856 | 2006-03-14 |
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| 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 |
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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.