Satellite Healthcare of Lagrange, LLC

Primary specialty

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

Legal business name

SATELLITE HEALTHCARE OF LAGRANGE, LLC

Doing business as

Satellite Healthcare LaGrange

Practice address

109 Parker Dr
Lagrange, GA 30240-6436

Phone

(706) 530-2804

Fax

(706) 530-2805

NPI assigned

Jan 25, 2019

Last updated

Aug 14, 2023By 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

Thomas R Williams

Title

Ceo

Phone

(650) 404-3600

Specialties & licenses 1

Addresses

Other names 1

• Satellite Healthcare LaGrange Doing business as

Member of 1

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

• Satellite Healthcare, Inc.

  dba Satellite Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Mateo, CA
  • NPI 1730110578

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1205390192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45867",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941450867",
            "telephone_number": "480-436-2496",
            "fax_number": "480-692-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 PARKER DR",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302406436",
            "telephone_number": "706-530-2804",
            "fax_number": "706-530-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATELLITE HEALTHCARE OF LAGRANGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-25",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-11",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-404-3600"
    },
    "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": "Satellite Healthcare LaGrange",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Satellite Healthcare LaGrange",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kolby Sanchez, S/T, MA
• Collin Taylor Sanders-Lamoree, LAPC
• Kimberly Joy Sanders, DPT
• Jennifer M Sanderson, DO
• Daniel Thomas Sandlin, M.D.
• William H Scarborough, RPH
• Schaufler & Schaufler, OB-GYN
• Margaret D Schaufler, M.D.
• Mindy Ann Scheible, FNP-C
• Suzanne Wright Schuessler, M.D.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lagrange, GA
• Providers in Lagrange, 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 Aug 14, 2023; 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.