Fresenius Medical Care Beaufort County, LLC

Primary specialty

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

Legal business name

FRESENIUS MEDICAL CARE BEAUFORT COUNTY, LLC

Doing business as

FMC Dialysis Services Low Country Dialysis

Practice address

10 Johnny Morrall Cir
Port Royal, SC 29935-1148

Phone

(843) 524-2373

Fax

(843) 524-5584

NPI assigned

Aug 15, 2022

Last updated

Aug 15, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Barry Blanton

Title

Vice President

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Other names 1

• FMC Dialysis Services Low Country Dialysis Doing business as

Tax ID family

Ability Network2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fresenius Medical Care Beaufort County, LLC

  dba Fresenius Kidney Care Port Royal Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Beaufort, SC
  • NPI 1073252441
  NPD tax ID

Locations

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1083342281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 JOHNNY MORRALL CIR",
            "city": "PORT ROYAL",
            "state": "SC",
            "postal_code": "299351148",
            "telephone_number": "843-524-2373",
            "fax_number": "843-524-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 JOHNNY MORRALL CIR",
            "city": "PORT ROYAL",
            "state": "SC",
            "postal_code": "299351148",
            "telephone_number": "843-524-2373",
            "fax_number": "843-524-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESENIUS MEDICAL CARE BEAUFORT COUNTY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "BLANTON",
        "authorized_official_first_name": "BARRY",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FMC Dialysis Services Low Country Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Doctors Care SC, PA (Doctors Care Beaufort)
• Alexandra L Edenfield, PA
• John Bruce Etheridge, MD
• Richard H Fitzgerald, M.D.
• Arianne M Fredrickson, PA-C
• Genesis Eldercare Rehabilitation Services LLC (Genesis Rehabilitation Services)
• Ashton Marie Giammona, PA-C
• Jessie Pernell Goethie, DNP, APRN, FNP-C
• Carissa Grande
• Grist Mill Partners LLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Port Royal, SC
• Providers in Port Royal, 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 Aug 15, 2022; 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.