RENALSOUTH OF ROME LLC (NPI# 1952726945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952726945 |
| Entity Type | Organization |
| Organization Name | RENALSOUTH OF ROME LLC |
| Other Organization Name | RENALSOUTH |
| Practice Address |
315 W 10th St Ne Suite 105 Rome GA 30165-2676 |
| Mailing Address |
117 Gemini Cir Suite 418 Birmingham AL 35209-5874 |
| Practice Telephone | 7063149170 |
| Practice Fax Number | 8556879673 |
| Mailing Telephone | 2058156541 |
| Mailing Fax Number | 8552911660 |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2014-10-09 |
| Authorized Official Name | MRS. JANET RENAE BROWN (COO) |
| Authorized Official Telephone | 2058156541 |
| 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 |
ESRD000684 | GA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| RenalSouth | Doing Business As Name - Organization |
| Street Address |
315 W 10TH ST NE SUITE 105 |
| City | ROME |
| State | GA |
| Zip Code | 30165-2676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427026525 | Medeasy, Inc. | Durable Medical Equipment & Medical Supplies | 315 W 10th St Ne, Suite 220, Rome, GA 30165-2676 | 2006-03-14 |
| 1780697284 | Affordable Health Care, LLC | Clinic/Center | 315 W 10th St Ne, Suite 110, Rome, GA 30165-2638 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1386001055 | Autumn Streetman | Counselor | 6 Mathis Drive, Rome, GA 30165 | 2016-01-26 |
| 1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
| 1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
| 1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
| Find all providers in zip 30165 | ||||
| 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 |
|---|---|---|---|---|
| 1851302236 | Harbin Clinic, LLC | Clinic/Center | 172 Three Rivers Dr Ne, Rome, GA 30161-4999 | 2006-08-10 |
| 1801865803 | Dva Healthcare Renal Care, Inc | Clinic/Center | 1401 Dean St Se, Suite H, Rome, GA 30161-6494 | 2006-03-14 |
| 1356319560 | Dva Healthcare Renal Care Inc | Clinic/Center | 20 Riverbend Dr Sw Ste 100, Rome, GA 30161-6066 | 2006-03-14 |
| 1841777455 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 315 W 10th St Ne Ste 105, Rome, GA 30165-2676 | 2018-07-26 |
| 1851803670 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 221 Technology Pkwy Nw, Rome, GA 30165-1369 | 2017-11-02 |
| 1710499512 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 172 Three Rivers Dr Ne, Rome, GA 30161-4999 | 2017-11-02 |
| 1598851545 | Faxton-st. Lukes Healthcare | Clinic/Center | 91 Perimeter Rd, Ste. 140, Rome, NY 13441 | 2006-10-05 |
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|---|---|---|---|---|
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| 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 | ||||
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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.