RENAL TREATMENT CENTERS MID ATLANTIC INC NPI 1922077965

NPI Information

NPI: 1922077965
Provider Name: RENAL TREATMENT CENTERS MID ATLANTIC INC

Doing Business As: GRIFFIN DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
731 S 8TH ST
GRIFFIN, GA
ZIP 30224
Phone: (770) 227-1717
Get Directions

RENAL TREATMENT CENTERS MID ATLANTIC INC is an end-stage renal disease (esrd) treatment clinic center in Griffin, GA. RENAL TREATMENT CENTERS MID ATLANTIC INC NPI is 1922077965. The provider is registered as an organization entity type.
The provider Is Doing Business As Griffin Dialysis.

The provider's business location address is:

731 S 8TH ST
GRIFFIN, GA
ZIP 30224-818
Phone: (770) 227-1717
Fax: (770) 227-4048

The provider's authorized official is Thomas O Usilton .
The authorized official title is Group Vice President and has the following contact phone number (770) 541-7922.

The enumeration date for this NPI number is 3/14/2006 and was last updated on 11/19/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	ESRD001112	GEORGIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	000407459A	MEDICAID	GEORGIA
2	LA=1791709	MEDICAID	LOUISIANA
3	112529	MEDICARE OSCAR/CERTIFICATION

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: 5/5/2024

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »