Dialysis of Golden Isles, LLC

Primary specialty

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

Legal business name

DIALYSIS OF GOLDEN ISLES, LLC

Practice address

475 Gateway Center Blvd
Brunswick, GA 31525

Phone

(205) 271-2129

Fax

(205) 271-2139

NPI assigned

Oct 15, 2007

Last updated

Oct 15, 2007By 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

Ahmed Elsharkawi, MD

Title

Medical Director

Phone

(205) 271-2129

Specialties & licenses 1

Addresses

Member of 1

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

• Cooperative Healthcare Services Inc

  dba Southeast Georgia Physician Associates

  • Clinic/Center
  • Brunswick, GA
  • NPI 1417979402

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1194914275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 GEMINI CIR",
            "address_2": "SUTIE 418",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095874",
            "telephone_number": "205-271-2129",
            "fax_number": "205-271-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 GATEWAY CENTER BLVD",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "31525",
            "telephone_number": "205-271-2129",
            "fax_number": "205-271-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS OF GOLDEN ISLES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "ELSHARKAWI",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "205-271-2129",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra E Deschaine, CRNA
• Deshaw Family Chiropractic LLC
• Brent J Deshaw, D.C.
• David Scott Deuser, M.D.
• Brittany Dewese, LPN
• Diana L. Walther, PH.D. PC
• Robin Dickson, LCSW
• Digestive Associates, Inc.
• Edward A Dipreta, MD
• Renee Diskin, MD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Brunswick, GA
• Providers in Brunswick, GA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.