Renal Associates of Lagrange at Emory LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

RENAL ASSOCIATES OF LAGRANGE AT EMORY LLC

Practice address

1300 Lafayette Pkwy Ste D
Lagrange, GA 30241-2610

Phone

(706) 882-2800

Fax

(706) 324-3419

NPI assigned

Oct 2, 2018

Last updated

Oct 2, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Beverly Reynolds

Title

Office Manager

Phone

(706) 322-1486

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538438400000",
    "number": "1154806594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6228 BRADLEY PARK DR STE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043605",
            "telephone_number": "706-322-1486",
            "fax_number": "706-324-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 LAFAYETTE PKWY STE D",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302412610",
            "telephone_number": "706-882-2800",
            "fax_number": "706-324-3419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Old Mill Rd",
            "address_purpose": "LOCATION",
            "city": "LaGrange",
            "state": "GA",
            "postal_code": "302416704",
            "country_code": "US",
            "telephone_number": "706-882-2800",
            "fax_number": "706-324-3419",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Glenn Bass Rd",
            "address_purpose": "LOCATION",
            "city": "LaGrange",
            "state": "GA",
            "postal_code": "302405809",
            "country_code": "US",
            "telephone_number": "706-882-2800",
            "fax_number": "706-324-3419",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5995 Spring St",
            "address_purpose": "LOCATION",
            "city": "Warm Springs",
            "state": "GA",
            "postal_code": "318302149",
            "country_code": "US",
            "telephone_number": "706-882-2800",
            "fax_number": "706-324-3419",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4130 White House Pkwy",
            "address_purpose": "LOCATION",
            "city": "Warm Springs",
            "state": "GA",
            "postal_code": "318302214",
            "country_code": "US",
            "telephone_number": "706-882-2800",
            "fax_number": "706-324-3419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RENAL ASSOCIATES OF LAGRANGE AT EMORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-02",
        "last_updated": "2018-10-02",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-322-1486"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Nephrology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.