Active NPI
Total Renal Care Inc
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Augusta, GA
National Provider Identifier
1194784314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- License
- ESRD000997
- Legal business name
- TOTAL RENAL CARE INC
- Practice address
- 1631 Gordon Hwy
Ste 1B
Augusta, GA 30906 - Phone
- (706) 790-8300
- Fax
- (706) 790-9944
- NPI assigned
- Mar 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John D Winstel
- Title
- Chief Accounting Officer
- Phone
- (253) 733-4501
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | ESRD000997 | GA | Primary |
Addresses
Primary practice location
1631 Gordon Hwy
Ste 1B
Augusta, GA 30906
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Phone (615) 320-4268
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125608 | Medicaid | SC | |
| 000891723A | Medicaid | GA |
Other names 1
- Nephrology Center of South Augusta
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658188800000",
"number": "1194784314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 VIRGINIA WAY",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277569",
"telephone_number": "615-320-4268",
"fax_number": "877-238-0567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1631 GORDON HWY",
"address_2": "STE 1B",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "30906",
"telephone_number": "706-790-8300",
"fax_number": "706-790-9944"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOTAL RENAL CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-17",
"last_updated": "2022-07-19",
"certification_date": "2022-07-10",
"status": "A",
"authorized_official_last_name": "WINSTEL",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
"authorized_official_telephone_number": "253-733-4501"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "GA",
"license": "ESRD000997",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125608",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000891723A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Nephrology Center of South Augusta",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Nephrology Center of South Augusta",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.