NPIMap

Organization Active NPI

Bio-Medical Applications of Georgia, Inc.

Doing business as Fresenius Kidney Care Liberty County

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Hinesville, GA
National Provider Identifier
1083229280
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
BIO-MEDICAL APPLICATIONS OF GEORGIA, INC.
Doing business as
Fresenius Kidney Care Liberty County
Practice address
145 W Hendry St
Hinesville, GA 31313-3201
Phone
(912) 235-6870
Fax
(912) 232-5996
NPI assigned
Sep 14, 2020
Last updated
Oct 23, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
Barry L. Blanton
Title
Vice President
Phone
(781) 699-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

145 W Hendry St
Hinesville, GA 31313-3201

Mailing address

145 W Hendry St
Hinesville, GA 31313-3201
Phone (912) 235-6870

Other names 1

  • FRESENIUS KIDNEY CARE LIBERTY COUNTY Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201007001155 GA Part A Provider - End-Stage Renal Disease Facility (ESRD) 4183533771 Practice locations: Hinesville, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083229280. Details of each certification follow.

  • CCN 852583 End-stage renal disease facility · Active · Name & address match · Details

End-stage renal disease facility certification: CCN 852583

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
FRESENIUS KIDNEY CARE LIBERTY COUNTY
Certification status
Active
Provider type (POS)
End-stage renal disease facility
Participating since
Dec 2, 2020
Last certification
Dec 2, 2020
Ownership / control type
For Profit
Facility address
145 West Hendry St
Hinesville, GA 31313

National Provider Directory

National Provider Directory
Tax ID family
Bio-Medical Application54 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1083229280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 W HENDRY ST",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313133201",
            "telephone_number": "912-235-6870",
            "fax_number": "912-232-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 W HENDRY ST",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313133201",
            "telephone_number": "912-235-6870",
            "fax_number": "912-232-5996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIO-MEDICAL APPLICATIONS OF GEORGIA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2020-09-14",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "BLANTON",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "781-699-9000"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "FRESENIUS KIDNEY CARE LIBERTY COUNTY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hinesville, GA

Sources for this page

Verify at the official NPI Registry.