Dca of Aiken, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

DCA OF AIKEN, LLC

Practice address

113 Gregg Ave
Aiken, SC 29801-2797

Phone

(803) 648-0255

Fax

(803) 648-0755

NPI assigned

Apr 7, 2006

Organization subpart

Yes

Parent organization

DIALYSIS CORPORATION OF AMERICA, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Stephen Everett

Title

Ceo

Phone

(410) 694-0500

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George Sich III, D.P.M.

  • Foot Surgery Podiatrist
  • Aiken, SC
  • NPI 1093804817
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1053374660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 SENATE AVENUE",
            "address_2": "SUITE 300",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112339",
            "telephone_number": "717-730-9701",
            "fax_number": "717-730-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 GREGG AVE",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298012797",
            "telephone_number": "803-648-0255",
            "fax_number": "803-648-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DCA OF AIKEN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIALYSIS CORPORATION OF AMERICA, INC.",
        "enumeration_date": "2006-04-07",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "EVERETT",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-694-0500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "422595",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ERD138",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Davison, RPH
• Jordan Dawsey
• Emily Brooke Dawson, COT/L
• Caroline Day, MSP, CCC-SLP
• Margaret Day, LPC
• De Graaf LLC
• Eleanor Ingrid De Witt, LPN
• Laura Willing Deal, MCD,CCC-SLP
• Scott Anthony Deciantis, ATC
• Audrey Lynn Decker, RDN

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Aiken, SC
• Providers in Aiken, SC by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.