Provider Type Icon

ARA-SOUTH AUGUSTA CLINIC LLC NPI 1255373437


NPI Information

NPI: 1255373437
Provider Name: ARA-SOUTH AUGUSTA CLINIC LLC

Doing Business As: NEPHROLOGY CENTERS OF AMERICA-SOUTH AUGUSTA

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1649 GORDON HWY
AUGUSTA, GA
ZIP 30906
Phone: (706) 796-1236
Get Directions

ARA-SOUTH AUGUSTA CLINIC LLC is an end-stage renal disease (esrd) treatment clinic center in Augusta, GA. ARA-SOUTH AUGUSTA CLINIC LLC NPI is 1255373437. The provider is registered as an organization entity type.
The provider Is Doing Business As Nephrology Centers Of America-south Augusta.

The provider's business location address is:

1649 GORDON HWY
AUGUSTA, GA
ZIP 30906-220
Phone: (706) 796-1236
Fax: (706) 796-1256

The provider's authorized official is Sara Anne Brady .
The authorized official title is Chief Nursing Officer and has the following contact phone number (208) 371-7878.

The enumeration date for this NPI number is 6/12/2006 and was last updated on 1/10/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100951321AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.