Organization Active NPI

Medical Kidney Services of Central Georgia, LTD.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Milledgeville, GA
National Provider Identifier
1295882454
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.