FMS LAWRENCEVILLE, LLC (NPI# 1679964894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679964894 |
| Entity Type | Organization |
| Organization Name | FMS LAWRENCEVILLE, LLC |
| Other Organization Name | FRESENIUS MEDICAL CARE GWINNETT HOME |
| Practice Address |
595 Hurricane Shoals Rd Nw Suite 202 Lawrenceville GA 30046-8761 |
| Practice Telephone | 6789859922 |
| Practice Fax Number | 6789859923 |
| Mailing Telephone | 6789859922 |
| Mailing Fax Number | 6789859923 |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-08-21 |
| Authorized Official Name | MARK R FAWCETT (SVP AND TREASURER) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, 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 |
|---|---|
| Fresenius Medical Care Gwinnett Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689928020 | Fms Lawrenceville, LLC | Clinic/Center | 1115 Herrington Rd, Lawrenceville, GA 30044-7503 | 2012-11-07 |
| Street Address |
595 HURRICANE SHOALS RD NW SUITE 202 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-8761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487619045 | Jayanti Jasti | Internal Medicine | 595 Hurricane Shoals Rd Nw, Suite 100, Lawrenceville, GA 30046 | 2006-04-18 |
| 1053950246 | Gregory Wilkerson | Nurse Practitioner | 595 Hurricane Shoals Rd Nw, Lawrenceville, GA 30046-8761 | 2020-01-05 |
| 1487168605 | Stephanie Jones | Nurse Practitioner | 595 Hurricane Shoals Rd Nw, Suite 300, Lawrenceville, GA 30046 | 2017-11-27 |
| 1447614656 | Rachel Elizabeth Gillman | Pediatrics | 595 Hurricane Shoals Rd Nw, Suite 300, Lawrenceville, GA 30046 | 2016-04-13 |
| 1922467943 | Jennifer Kahn Finney | Nurse Practitioner | 595 Hurricane Shoals Rd Nw, Suite 100, Lawrenceville, GA 30046 | 2016-02-18 |
| 1609132851 | Katayun Taasoobshirazi | Pediatrics | 595 Hurricane Shoals Rd Nw, Suite 300, Lawrenceville, GA 30046 | 2012-04-02 |
| 1003197310 | Brian Joseph Maloney | Physical Therapist | 595 Hurricane Shoals Rd Nw, Lawrenceville, GA 30046-8761 | 2011-08-31 |
| 1760773022 | Alana Meryll Bozeman | Pediatrics | 595 Hurricane Shoals Rd Nw, Suite 300, Lawrenceville, GA 30046 | 2011-04-21 |
| 1669782389 | Dale Harrison Alderman | Physical Therapist | 595 Hurricane Shoals Rd Nw, Suite 100, Lawrenceville, GA 30046 | 2010-10-15 |
| 1104138064 | Sherry Lynn Mathes | Nurse Practitioner | 595 Hurricane Shoals Rd Nw, Suite 100, Lawrenceville, GA 30046 | 2010-07-08 |
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|---|---|---|---|---|
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| 1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
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| 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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|---|---|---|---|---|
| 1629607098 | Rutledge Dialysis, LLC | Clinic/Center | 1719 New Hope Rd, Lawrenceville, GA 30045-6570 | 2020-04-07 |
| 1164672630 | Isd Trenton LLC | Clinic/Center | 1840 Princeton Ave, Lawrenceville, NJ 08648-4518 | 2008-09-22 |
| 1750493573 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 1115 Herrington Rd, Lawrenceville, GA 30044-7503 | 2006-08-31 |
| 1568574382 | Nna of Georgia Inc. | Clinic/Center | 350 Philip Blvd Nw, Lawrenceville, GA 30046-8700 | 2006-08-31 |
| 1669426813 | Sugarloaf Dialysis LLC | Clinic/Center | 1705 Belle Meade Ct Ste 110, Lawrenceville, GA 30043-5895 | 2006-05-20 |
| 1578015798 | Isd Trenton LLC | Clinic/Center | 1840 Princeton Ave, Lawrenceville, NJ 08648-4518 | 2016-11-04 |
| 1952859209 | Dsi Snellville LLC | Clinic/Center | 3370 Sugarloaf Pkwy, Lawrenceville, GA 30044-5478 | 2016-09-15 |
| 1689928020 | Fms Lawrenceville, LLC | Clinic/Center | 1115 Herrington Rd, Lawrenceville, GA 30044-7503 | 2012-11-07 |
| 1285654236 | Nephron Corporation | Clinic/Center | 605 Old Norcross Rd, Lawrenceville, GA 30045-4315 | 2006-07-20 |
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| 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 |
| 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 |
| 1588217673 | Vanell Dialysis, LLC | Clinic/Center | 14661 Us Highway 19 S, Thomasville, GA 31792-4871 | 2019-07-18 |
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| City | LAWRENCEVILLE |
| Zip Code | 30046 |
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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.