Active NPI
Medical Kidney Services of Central Georgia, LTD.
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Milledgeville, GA
National Provider Identifier
1295882454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- MEDICAL KIDNEY SERVICES OF CENTRAL GEORGIA, LTD.
- Practice address
- 521 W Montgomery St
#14A
Milledgeville, GA 31061-3293 - Phone
- (478) 453-2031
- Fax
- (478) 452-5225
- NPI assigned
- Jan 3, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shirley C Rowland
- Title
- Ceo
- Phone
- (478) 453-2031
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | GA | Primary |
Addresses
Primary practice location
521 W Montgomery St
#14A
Milledgeville, GA 31061-3293
Mailing address
PO Box 4207
Macon, GA 31208-4207
Phone (478) 453-2031
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1295882454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4207",
"city": "MACON",
"state": "GA",
"postal_code": "312084207",
"telephone_number": "478-453-2031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 W MONTGOMERY ST",
"address_2": "#14A",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "310613293",
"telephone_number": "478-453-2031",
"fax_number": "478-452-5225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL KIDNEY SERVICES OF CENTRAL GEORGIA, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ROWLAND",
"authorized_official_first_name": "SHIRLEY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "478-453-2031"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milledgeville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.