KIDNEY DIALYSIS CENTER, LLC (NPI# 1548429822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548429822 |
| Entity Type | Organization |
| Organization Name | KIDNEY DIALYSIS CENTER, LLC |
| Practice Address |
640 Martin Luther King Jr Blvd Suite 100 Macon GA 31201-3206 |
| Practice Telephone | 4787425850 |
| Practice Fax Number | 4787425860 |
| Mailing Telephone | 4787425850 |
| Mailing Fax Number | 4787425860 |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2008-10-15 |
| Authorized Official Name | AZMI KABBANI (ORGANIZER) |
| Authorized Official Telephone | 4787455455 |
| Authorized Official Credential | M.D. |
| 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 |
GA | Ambulatory Health Care Facilities |
| Street Address |
640 MARTIN LUTHER KING JR BLVD SUITE 100 |
| City | MACON |
| State | GA |
| Zip Code | 31201-3206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376541078 | Azmi A Kabbani | Internal Medicine | 640 Martin Luther King Jr Blvd, Suite 200, Macon, GA 31201-3206 | 2005-07-07 |
| 1689818429 | Vince Golden | Dietitian, Registered | 640 Martin Luther King Jr Blvd, Suite 200, Macon, GA 31201-3206 | 2009-04-23 |
| 1659519692 | Adam Norman Rhoades | Physician Assistant | 640 Martin Luther King Jr Blvd, Suite 200, Macon, GA 31201-3206 | 2009-01-29 |
| 1023275617 | Swathi Singanamala | Internal Medicine | 640 Martin Luther King Jr Blvd, Suite 200, Macon, GA 31201-3297 | 2008-05-21 |
| 1063679769 | Niraj Desai | Internal Medicine | 640 Martin Luther King Jr Blvd, Suite 200, Macon, GA 31201-3206 | 2008-05-20 |
| 1912914847 | Macon Medical Group PC | Internal Medicine | 640 Martin Luther King Jr Blvd, Suite 200, Macon, GA 31201-3206 | 2006-08-02 |
| 1952300469 | Ludwig V Cavaliere | Internal Medicine | 640 Martin Luther King Jr Blvd, Suite 200, Macon, GA 31201-3206 | 2005-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639666340 | Yasameen Emad Muzahim | Internal Medicine | 777 Hemlock Street, Msc 165, Macon, GA 31201 | 2018-04-18 |
| 1952819419 | Putnam Dialysis LLC | Clinic/Center | 657 Hemlock Street, Suite 200, Macon, GA 31201 | 2018-01-18 |
| 1730604331 | Graham Arthur Mercier | Surgery | 169 Ashley Ave., Room 202 Main Hospital Msc 333, Charleston, SC 31201 | 2017-08-04 |
| 1376075705 | Diamond Jude | Internal Medicine | 777 Hemlock Street Msc #104, Macon, GA 31201 | 2017-04-03 |
| 1174055263 | Carol Roobin Bashuk | Hearing Instrument Specialist | 634 First Street, Macon, GA 31201 | 2017-03-29 |
| 1144752411 | Hubert Pare | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street, Msc# 165, Macon, GA 31201 | 2017-03-28 |
| 1548613789 | Michael Daugherty | Counselor | 1873 Hardeman Ave, Suite 1, Macon, GA 31201 | 2016-07-22 |
| 1316317993 | 4front Healthcare of Middle Georgia, LLC | Hospice Care, Community Based | 682 1st St, Macon, GA 31201 | 2015-09-25 |
| 1881073054 | Andrew Lee Drahos | Surgery | 777 Hemlock St # 140, Macon, GA 31201 | 2015-05-21 |
| 1720474158 | April Nicole Colley | Nurse Practitioner | 1014 Forsyth Street, Macon, GA 31201 | 2015-04-13 |
| Find all providers in zip 31201 | ||||
| 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 |
|---|---|---|---|---|
| 1265058275 | Dialysis Care Center Pleasant Hill LLC | Clinic/Center | 1425 Georgia Ave Ste 102, Macon, GA 31201-6546 | 2020-06-25 |
| 1952819419 | Putnam Dialysis LLC | Clinic/Center | 657 Hemlock Street, Suite 200, Macon, GA 31201 | 2018-01-18 |
| 1396257010 | Leawood Dialysis LLC | Clinic/Center | 640 Martin Luther King Jr Blvd Ste 100, Macon, GA 31201-3297 | 2017-11-03 |
| 1699298794 | Macon Eastside Dialysis Center LLC | Clinic/Center | 640 North Ave Ste H, Macon, GA 31211-1455 | 2017-07-20 |
| 1881080950 | Dsi Macon, LLC | Clinic/Center | 657 Hemlock St Ste 100, Macon, GA 31201-8331 | 2015-04-15 |
| 1073910485 | Macon Southside Dialysis Center LLC | Clinic/Center | 2117 Eisenhower Pkwy, Macon, GA 31206-3185 | 2014-12-01 |
| 1891194783 | Dialysis Clinic Inc | Clinic/Center | 1203 N. Missouri St, Macon, MO 63552 | 2014-08-18 |
| 1962825844 | Georgia Kidney Institute,llc | Clinic/Center | 1625 Hardeman Ave, Macon, GA 31201-1417 | 2014-01-28 |
| 1598877300 | Bio-medical Applications of Georgia Inc | Clinic/Center | 2500 2nd St, Macon, GA 31206-2224 | 2006-08-31 |
| 1114039948 | Bio-medical Applications of Georgia Inc | Clinic/Center | 280 Clinton St, Macon, GA 31217-3954 | 2006-08-31 |
| Find all providers in MACON | ||||
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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.