ATHENS KIDNEY CENTER, PC (NPI# 1659468056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659468056 |
| Entity Type | Organization |
| Organization Name | ATHENS KIDNEY CENTER, PC |
| Other Organization Name | COMMERCE KIDNEY CENTER |
| Practice Address |
592 Ridgeway Rd Suite A Commerce GA 30529-1334 |
| Practice Telephone | 7063356665 |
| Practice Fax Number | 7063352475 |
| Mailing Telephone | 7063356665 |
| Mailing Fax Number | 7063352475 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2009-10-27 |
| Authorized Official Name | DR. AZUBUEZE AFAM ADOGU (PRESIDENT) |
| Authorized Official Telephone | 7065436397 |
| Authorized Official Credential | M.D., PH.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 |
ESRD000758 | GA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Commerce Kidney Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871680264 | Athens Kidney Center, PC | Clinic/Center | 1311 Atlanta Hwy, Madison, GA 30650-2069 | 2006-10-06 |
| 1831286228 | Athens Kidney Center, PC | Clinic/Center | 1440 N Chase St, Athens, GA 30601-1850 | 2006-10-06 |
| Street Address |
592 RIDGEWAY RD SUITE A |
| City | COMMERCE |
| State | GA |
| Zip Code | 30529-1334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891249 | Himanshu Haridutt Desai | Pharmacist | 30983 Us-441 S, Commerce, GA 30529 | 2020-11-03 |
| 1477091155 | Joshua W. Upton | Pharmacist | 220 Hwy. 334, Commerce, GA 30529 | 2017-02-02 |
| 1881041853 | Le-nguyen, D.m.d., P.C. | Dentist | 119 Pottery Factory Drive, Commerce, GA 30529 | 2016-05-19 |
| 1104166800 | Ashley Hardigree Brueshaber | Nurse Practitioner | 1935 A Homer Rd, Suite A, Commerce, GA 30529 | 2013-02-18 |
| 1003179946 | Mary Allison Adams | Registered Nurse | 1935 Homer Rd Ste A, Commerce, GA 30529 | 2012-06-15 |
| 1386802155 | Urgent Care Banks Crossing LLC | Pain Medicine | 415 B Pottery Factory Drive, Commerce, GA 30529 | 2008-05-29 |
| 1841468287 | Ingles Markets Inc | Pharmacy | 220 Hwy 334, Commerce, GA 30529 | 2008-02-20 |
| 1548334758 | Advantage Bhs | Clinic/Center | 106 Industrial Pkwy, Commerce, GA 30529 | 2006-11-20 |
| 1023192325 | Thomas Arthur Wilber | Chiropractor | 30332 Highway 441 S, Commerce, GA 30529 | 2006-10-24 |
| 1194805689 | Brian Eugene Vandiver | Physical Therapist | 40095 Us Highway 441, Elite Physical Therapy, Commerce, GA 30529 | 2006-10-17 |
| Find all providers in zip 30529 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
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| 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 |
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| 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 | ||||
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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.