Active NPI
Rai Care Centers of Georgia II, LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Savannah, GA
National Provider Identifier
1033128541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- RAI CARE CENTERS OF GEORGIA II, LLC
- Practice address
- 1020 Drayton St
Savannah, GA 31401-6535 - Phone
- (912) 233-6067
- Fax
- (912) 232-4037
- NPI assigned
- Aug 5, 2006
- Last updated
- Feb 10, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jon M Sundock
- Title
- Vice President
- Phone
- (615) 507-3307
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | NU | Primary |
Addresses
Primary practice location
1020 Drayton St
Savannah, GA 31401-6535
Mailing address
1550 W. McEwen Drive
Suite 500
Franklin, TN 37067-1731
Phone (615) 661-1100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5306712 | Other | GA | AETNA |
| 000795275D | Medicaid | GA |
Other names 1
- RAI-Drayton-Savannah
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba RCC Wellington
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Lake Worth, FL
- NPI 1871695163
Member Of
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nephrology Physician
- Savannah, GA
- NPI 1265435564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297296000000",
"number": "1033128541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 W. MCEWEN DRIVE",
"address_2": "SUITE 500",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370671731",
"telephone_number": "615-661-1100",
"fax_number": "615-507-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 DRAYTON ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314016535",
"telephone_number": "912-233-6067",
"fax_number": "912-232-4037"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAI CARE CENTERS OF GEORGIA II, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-05",
"last_updated": "2011-02-10",
"status": "A",
"authorized_official_last_name": "SUNDOCK",
"authorized_official_first_name": "JON",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "615-507-3307",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5306712",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000795275D",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "RAI-Drayton-Savannah",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.