ODIORNE DIALYSIS LLC (NPI# 1942672423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942672423 |
| Entity Type | Organization |
| Organization Name | ODIORNE DIALYSIS LLC |
| Other Organization Name | CHAPEL WOODS DIALYSIS |
| Practice Address |
2460 Wesley Chapel Rd Ste 25d Decatur GA 30035-3420 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 7709871439 |
| Practice Fax Number | 6784187948 |
| Mailing Telephone | 6153204268 |
| Mailing Fax Number | 8772380567 |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2018-10-08 |
| Authorized Official Name | JAMES K. HILGER (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334500 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003179683A | 05 |
| Other Name | Type Code |
|---|---|
| Chapel Woods Dialysis | Doing Business As Name - Organization |
| Street Address |
2460 WESLEY CHAPEL RD STE 25D |
| City | DECATUR |
| State | GA |
| Zip Code | 30035-3420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972079978 | James L Vinson, Phd | Home Health Aide | 4050 Snapfinger Woods Drive, Suite 201, Decatur, GA 30035 | 2018-10-17 |
| 1417445206 | Kamla Gonzales | Nurse Practitioner | 5146 Miller Woods Trl, Decatur, GA 30035 | 2018-04-26 |
| 1578924924 | Alicia Marie Johnson Bryant | Social Worker | 5878 Covington Hwy, Decater, GA 30035 | 2016-03-14 |
| 1568865756 | Tracy Roberson | Counselor | 4150 Snapfinger Woods Drive, Decatur, GA 30035 | 2014-10-01 |
| 1972927861 | Tyrone D. Lane Enterprises, Incorporated | Psychologist | 5304 Panola Industrial Boulevard, Suite L, Decatur, GA 30035 | 2014-02-12 |
| 1013255355 | Mervin E Williams | Pharmacist | 2075 South Hairston, Decatur, GA 30035 | 2013-01-22 |
| 1205187572 | Mariana Simpson-walker | Speech-Language Pathologist | 4262 Clausell Ct Ste A, Decatur, GA 30035 | 2012-09-27 |
| 1053683854 | Jimiesh G Crane | Dentist | 5243 Snapfinger Woods Dr Ste 105, Decatur, GA 30035 | 2012-02-08 |
| 1568765824 | Salih Robinson | Health Educator | 2511 Lantrac Ct, Decatur, GA 30035 | 2010-12-08 |
| 1831428234 | Thomas Counseling | Counselor | 3781 Presidential Parkway, Suite 111c, Chamblee, GA 30035 | 2009-12-14 |
| Find all providers in zip 30035 | ||||
| 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 |
|---|---|---|---|---|
| 1871080465 | Renal Treatment Centers - Mid-atlantic Inc | Clinic/Center | 5360 Snapfinger Woods Dr Ste 102, Decatur, GA 30035-4046 | 2018-04-18 |
| 1396270906 | Dialysis Services of Decatur LLC | Clinic/Center | 2705 Highway 31 S, Decatur, AL 35603-1507 | 2017-04-21 |
| 1760839922 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 2834 Spring Ave Sw, Decatur, AL 35603-1218 | 2016-05-18 |
| 1295108983 | Total Renal Care Inc | Clinic/Center | 2442 Wesley Chapel Rd, Decatur, GA 30035-3420 | 2015-11-04 |
| 1699165290 | Dsi Dekalb, LLC | Clinic/Center | 4570 Memorial Dr Ste B, Decatur, GA 30032-1444 | 2015-02-03 |
| 1972746204 | Emory Dialysis, LLC | Clinic/Center | 2726 Candler Rd, Decatur, GA 30034-1410 | 2009-04-16 |
| 1962676155 | Total Renal Care Inc | Clinic/Center | 5255 Snapfinger Park Dr Ste 115, Decatur, GA 30035-4066 | 2008-04-17 |
| 1871712927 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 2721 Irvin Way, Decatur, GA 30030-1720 | 2007-04-25 |
| 1730242538 | Decatur Hospital Authority | Clinic/Center | 2150 S Fm 51, Decatur, TX 76234 | 2006-12-19 |
| 1932211760 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 497 Winn Way Ste 160, Decatur, GA 30030-1701 | 2006-08-31 |
| Find all providers in DECATUR | ||||
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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.