Usrc Murray County LLC

Primary specialty

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

Legal business name

USRC MURRAY COUNTY LLC

Doing business as

US Renal Care Murray County Dialysis

Practice address

108 Hospital Dr
Chatsworth, GA 30705-2058

Phone

(706) 245-0817

Fax

(706) 245-6450

NPI assigned

Nov 18, 2010

Last updated

Oct 25, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

US RENAL CARE INCAs reported in NPPES

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

Authorized official

Name

Mr. Thomas L Weinberg

Title

Senior VP/General Counsel

Phone

(214) 736-2700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• US Renal Care Murray County Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

USRC Murray County DialysisCCN 112685

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Sep 13, 2000

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

10

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

US Renal Care Inc

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Rafael O Duchesne, M.D.

  • Nephrology Physician
  • Dalton, GA
  • NPI 1588657332

  Dialysis facility

  Care Compare affiliation Name & address match
• Muhammad Rashid Ishaque, M.D.

  • Nephrology Physician
  • Cartersville, GA
  • NPI 1255528949

  Dialysis facility

  Care Compare affiliation Name & address match
• Frank David Newby, M.D., PH. D

  • Nephrology Physician
  • Dalton, GA
  • NPI 1801889696

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382659200000",
    "number": "1215239538",
    "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": "108 HOSPITAL DR",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307052058",
            "telephone_number": "706-245-0817",
            "fax_number": "706-245-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC MURRAY COUNTY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "US RENAL CARE INC",
        "enumeration_date": "2010-11-18",
        "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": "SENIOR VP/GENERAL COUNSEL",
        "authorized_official_telephone_number": "214-736-2700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00888049A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "US Renal Care Murray County Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Terrell
• The Health Depot
• Thislife Counseling, LLC
• Trom Enterprises, Inc. (Carlton's Pharmacy)
• Victoria Nicole Tucker
• Jnana Pramod Valluri, M.B.B.S
• Daniel Josue Vasquez, M.D
• Annia Velazquez Padron
• Jeff Viktora
• Walgreen Co (Walgreens #10798)

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Chatsworth, GA
• Providers in Chatsworth, 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 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.