Organization Active NPI

Rai Care Centers of Georgia I LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Millen, GA
National Provider Identifier
1285965103
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
RAI CARE CENTERS OF GEORGIA I LLC
Practice address
242 N Masonic St
Millen, GA 30442-1611
Phone
(478) 982-9533
Fax
(478) 982-9535
NPI assigned
Jan 15, 2010
Organization subpart
Yes
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

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

Authorized official

Name
Mr. Mark Fawcett
Title
Tresurer
Phone
(781) 699-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

242 N Masonic St
Millen, GA 30442-1611

Mailing address

242 N Masonic St
Millen, GA 30442-1611
Phone (478) 982-9533

Other names 1

  • RAI-Masonic St.-Milen Other name

National Provider Directory

National Provider Directory

Locations

1240 Highway 54 W
Ste 408
Fayetteville, GA 30214
Phone (770) 460-0136

1069 Peachtree St
Louisville, GA 30434
Phone (478) 625-9566

614 S Harris St
Sandersville, GA 31082
Phone (229) 552-6818

NPI Registry JSON

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1285965103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 N MASONIC ST",
            "city": "MILLEN",
            "state": "GA",
            "postal_code": "304421611",
            "telephone_number": "478-982-9533",
            "fax_number": "478-982-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 N MASONIC ST",
            "city": "MILLEN",
            "state": "GA",
            "postal_code": "304421611",
            "telephone_number": "478-982-9533",
            "fax_number": "478-982-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAI CARE CENTERS OF GEORGIA I LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC",
        "enumeration_date": "2010-01-15",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "TRESURER",
        "authorized_official_telephone_number": "781-699-9000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAI-Masonic St.-Milen",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Millen, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; 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.