Active NPI
Rai Care Centers of Georgia I LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Millen, GA
National Provider Identifier
1285965103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- 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, INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.