Organization Active NPI

Renal Carepartners of Cumming LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Cumming, GA
National Provider Identifier
1194035915
Registry record updated Oct 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
RENAL CAREPARTNERS OF CUMMING LLC
Practice address
1370 Buford Hwy
Suite 112
Cumming, GA 30041-6582
Phone
(305) 512-0014
Fax
(800) 986-1260
NPI assigned
Oct 14, 2010
Organization subpart
Yes
Parent organization
U.S. RENAL CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 25, 2013

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

Authorized official

Name
Thomas L. Weinberg
Title
Authorized Official
Phone
(214) 736-2700

Specialties & licenses 1

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

Addresses

Primary practice location

1370 Buford Hwy
Suite 112
Cumming, GA 30041-6582

Mailing address

PO Box 19119
Jonesboro, AR 72403-6601
Phone (870) 931-5400

Other identifiers 1

IdentifierTypeStateIssuer
003122577AMedicaidGA

Other names 1

  • U.S. Renal Care Cumming Dialysis Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101115001009 GA Part A Provider - End-Stage Renal Disease Facility (ESRD) 3870788953 Practice locations: Cumming, GA

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Usrc Cumming DialysisCCN 112839
Overall star rating
3.0 of 5
Ownership
Profit
Certified
Feb 9, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Chain
US Renal Care, Inc.
Dialysis stations
17

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

National Provider Directory

National Provider Directory
Part of
US Renal Care Inc

Locations

1370 Buford Hwy
Ste 110
Cumming, GA 30041

1370 Buford Hwy
Ste 112
Cumming, GA 30041
Phone (678) 965-2893

3094 Momentum Pl
Chicago, IL 60689

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382659200000",
    "number": "1194035915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19119",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724036601",
            "telephone_number": "870-931-5400",
            "fax_number": "870-931-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 BUFORD HWY",
            "address_2": "SUITE 112",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416582",
            "telephone_number": "305-512-0014",
            "fax_number": "800-986-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL CAREPARTNERS OF CUMMING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2010-10-14",
        "last_updated": "2013-10-25",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "214-736-2700"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003122577A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Renal Care Cumming Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.