RENAL CAREPARTNERS OF STONE MOUNTAIN LLC (NPI# 1477827079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477827079 |
| Entity Type | Organization |
| Organization Name | RENAL CAREPARTNERS OF STONE MOUNTAIN LLC |
| Other Organization Name | U.S. RENAL CARE STONE MOUNTAIN DIALYSIS |
| Practice Address |
5329 Memorial Dr Suite B Stone Mountain GA 30083-3212 |
| Mailing Address |
Po Box 19119 Jonesboro AR 72403-6601 |
| Practice Telephone | 6789047010 |
| Mailing Telephone | 8709315400 |
| Mailing Fax Number | 8709315418 |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2013-10-25 |
| Authorized Official Name | THOMAS L. WEINBERG (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 2147362700 |
| Is Organization Subpart | Y |
| Parent Organization Name | U.S. RENAL CARE, 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 |
|---|---|
| U.S. Renal Care Stone Mountain Dialysis | Doing Business As Name - Organization |
| Street Address |
5329 MEMORIAL DR SUITE B |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30083-3212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477599314 | Nicholas Kemdi Ihenacho | Internal Medicine | 5329 Memorial Dr, Suite A, Stone Mountain, GA 30083-3212 | 2006-06-21 |
| 1730653619 | Chidi D Ikeokwu | Nurse Practitioner | 5329 Memorial Dr, Stone Mountain, GA 30083-3212 | 2019-01-14 |
| 1063807634 | Veritas Dialysis Inc. | Clinic/Center | 5329 Memorial Dr, Suite B, Stone Mountain, GA 30083-3212 | 2015-04-01 |
| 1457682809 | Adeliene G Isaac David | Nurse Practitioner | 5329 Memorial Dr, Suite A, Stone Mountain, GA 30083-3212 | 2010-01-25 |
| 1518146877 | Nova Dialysis Clinic Inc | Clinic/Center | 5329 Memorial Dr, Stone Mountain, GA 30083-3212 | 2007-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558830919 | Patriot Healthcare of Georgia, LLC | Family Medicine | 833 Hairston Road, Stone Mountain, GA 30083 | 2018-11-15 |
| 1710403431 | Trans Med Ems,llc | Ambulance | 4683 Redan Rd, Stone Mountain, GA 30083 | 2017-08-15 |
| 1447770482 | Dispatched Angels Home Care | In Home Supportive Care | 619 El Prado Court, Stone Mountain, GA 30083 | 2017-06-21 |
| 1396191086 | Suzanne Carter | Chore Provider | 1036 Allgood Rd, Stone Mountain, GA 30083 | 2016-05-11 |
| 1437520087 | Meaza Dada | Pharmacist | 1043 Thornwoode Lane, Stone Mountain, GA 30083 | 2015-10-08 |
| 1427436500 | Raeanne Elizabeth Gialanella | Occupational Therapist | 5839 Memorial Drive, Stone Mountain, GA 30083 | 2015-05-11 |
| 1265829824 | Latore Williams | Licensed Practical Nurse | 5300 Ridge Forest Drive, Stone Mountain, GA 30083 | 2015-04-22 |
| 1144625922 | Granville Theodore Freeman IIi | Counselor | 5000 Brittany Drive, Stone Mountain, GA 30083 | 2014-10-23 |
| 1588974208 | Terri R Collins | Counselor | 1020 Strap Hinge Trail, Stone Mountain, GA 30083 | 2010-10-15 |
| 1104064815 | Vistas Medical Center,pc | Clinic/Center | 5329 Memorial Dr Ste A, Stone Mountain, GEORGIA 30083 | 2009-02-03 |
| Find all providers in zip 30083 | ||||
| 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 |
|---|---|---|---|---|
| 1093808834 | Total Renal Care Inc | Clinic/Center | 5235 Memorial Dr, Stone Mountain, GA 30083-3112 | 2006-10-02 |
| 1558473371 | Stone Mountain Dialysis Center, LLC | Clinic/Center | 5723 Memorial Dr, Stone Mountain, GA 30083-3425 | 2006-08-31 |
| 1063807634 | Veritas Dialysis Inc. | Clinic/Center | 5329 Memorial Dr, Suite B, Stone Mountain, GA 30083-3212 | 2015-04-01 |
| 1518146877 | Nova Dialysis Clinic Inc | Clinic/Center | 5329 Memorial Dr, Stone Mountain, GA 30083-3212 | 2007-11-02 |
| 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 | STONE MOUNTAIN |
| Zip Code | 30083 |
Please comment or provide details below to improve the information on RENAL CAREPARTNERS OF STONE MOUNTAIN LLC.
| 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.