Renal Treatment Centers Mid Atlantic Inc

Primary specialty

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

License

ESRD001056 Issued in GA

Legal business name

RENAL TREATMENT CENTERS MID ATLANTIC INC

Doing business as

North Georgia Dialysis Home

Practice address

11685 Alpharetta Hwy
# 100
Roswell, GA 30076-4913

Phone

(678) 393-8144

Fax

(678) 393-8787

NPI assigned

Mar 17, 2006

Organization subpart

No

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

Authorized official

Name

Thomas O Usilton Jr.

Title

Group Vice President

Phone

(770) 541-7922

Specialties & licenses 1

Addresses

Other names 1

• North Georgia Dialysis Home Doing business as

Locations

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1265491492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "SUITE 400 L&C",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-324-1638",
            "fax_number": "303-209-7942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11685 ALPHARETTA HWY",
            "address_2": "# 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764913",
            "telephone_number": "678-393-8144",
            "fax_number": "678-393-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL TREATMENT CENTERS MID ATLANTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "USILTON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "GROUP VICE PRESIDENT",
        "authorized_official_telephone_number": "770-541-7922",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "GA",
            "license": "ESRD001056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Georgia Dialysis Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Relia Homecare LLC
• Relymd Medical Group Ga, LLC
• Russell David Remaley, D.D.S.
• Renaissance Recovery Group Inc
• Renal Carepartners of Roswell LLC
• Renovating Hope Counseling and Spiritual Direction, LLC
• Laurie D Renshaw, PHARM D, RPH
• William Randall Renshaw, RPH, PHARM D
• Reshape RX Atlanta LLC
• Resilience Source, LLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Roswell, GA
• Providers in Roswell, 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 5, 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.