BALDWIN DIALYSIS CENTER LLC (NPI# 1457862740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457862740 |
Entity Type | Organization |
Organization Name | BALDWIN DIALYSIS CENTER LLC |
Practice Address |
1310 N Columbia St Milledgeville GA 31061-2307 |
Practice Telephone | 4784541271 |
Practice Fax Number | 4784542384 |
Mailing Telephone | 4784541271 |
Mailing Fax Number | 4784542384 |
Enumeration Date | 2017-10-13 |
Last Update Date | 2020-03-10 |
Authorized Official Name | MRS. SHARI 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 |
Address | Telephone Number | Fax Number |
---|---|---|
1310 N Columbia St, Milledgeville, GA 310612307 | 9789223080 |
Street Address |
1310 N COLUMBIA ST |
City | MILLEDGEVILLE |
State | GA |
Zip Code | 31061-2307 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144616228 | Dsi Macon, LLC | Clinic/Center | 1310 N Columbia St, Milledgeville, GA 31061-2307 | 2015-04-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861007403 | Caring Clinic LLC | Nurse Practitioner | 114 Wrights Dr, Milledgeville, GA 31061 | 2020-09-10 |
1629619945 | Gini M Ellis | Counselor | Blandy Way Office Park 60, Highway 22 West, Milledgeville, GA 31061 | 2019-10-08 |
1356992275 | Community Health Care Systems, Inc | Clinic/Center | 100 N Abc Street, Milledgeville, GA 31061 | 2019-09-23 |
1467923805 | Adam Tocio | Specialist/Technologist | 350 W. Washington St., Milledgeville, GA 31061 | 2018-12-11 |
1487170304 | Aubrey Martin | Specialist/Technologist | 251 S Clark St., Milledgeville, GA 31061 | 2017-08-22 |
1427573054 | Heritagefirst Home Care Inc. | In Home Supportive Care | 1277 Twin Pine Road, Milledgeville, GA 31061 | 2017-08-04 |
1851813893 | Brittany Shantrel Primas | Nurse Practitioner | 102 A Airport Road Ne, Milledgeville, GA 31061 | 2017-07-12 |
1609300839 | Samantha Weldon | Behavioral Analyst | 174 Stewart Dr Nw, Milledgeville, GA 31061 | 2017-04-14 |
1427425230 | Foster Deariso | Specialist/Technologist | 251 S Clarke St, Milledgeville, GA 31061 | 2015-08-27 |
1023406279 | Llewelyn Garillos | Occupational Therapist | 3789 Sinclair Dam Road Ne, Milledgeville, GA 31061 | 2014-12-22 |
Find all providers in zip 31061 |
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 |
---|---|---|---|---|
1881076545 | Dialysis Center of Milledgeville LLC | Clinic/Center | 1520 N. Columbia Street, Suite 100, Milledgeville, GA 31061-2474 | 2015-06-18 |
1144616228 | Dsi Macon, LLC | Clinic/Center | 1310 N Columbia St, Milledgeville, GA 31061-2307 | 2015-04-15 |
1487886040 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 411 N Jefferson St Ne, Milledgeville, GA 31061-2920 | 2009-08-17 |
1295882454 | Medical Kidney Services of Central Georgia, Ltd. | Clinic/Center | 521 W Montgomery St, #14a, Milledgeville, GA 31061-3293 | 2007-01-03 |
1598711871 | Nra-milledgeville Georgia LLC | Clinic/Center | 421 N Jefferson St Ne, Milledgeville, GA 31061-2920 | 2006-05-26 |
1962461152 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 400 S Wayne St, Milledgeville, GA 31061 | 2006-03-17 |
1295122679 | Dsi Macon, LLC | Clinic/Center | 411 N Jefferson St Ne, Milledgeville, GA 31061-2920 | 2015-04-23 |
1730455205 | Dialysis Newco Inc | Clinic/Center | 411 N Jefferson St Ne, Milledgeville, GA 31061-2920 | 2012-03-28 |
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 |
City | MILLEDGEVILLE |
Zip Code | 31061 |
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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.