Organization Active NPI

Bio-Medical Applications of Georgia, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Ellijay, GA
National Provider Identifier
1306958129
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
BIO-MEDICAL APPLICATIONS OF GEORGIA, INC.
Practice address
941 Progress Rd
Ellijay, GA 30540-5599
Phone
(706) 635-3580
NPI assigned
Aug 31, 2006
Organization subpart
Yes
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Authorized official

Name
Mark Fawcett
Title
SVP & Treasurer
Phone
(781) 699-9000

Specialties & licenses 1

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

Addresses

Primary practice location

941 Progress Rd
Ellijay, GA 30540-5599

Mailing address

941 Progress Rd
Ellijay, GA 30540-5599

Other identifiers 1

IdentifierTypeStateIssuer
390834310AMedicaidGA

Other names 1

  • FMC DIALYSIS SERVICES OF ELLIJAY Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565568000000",
    "number": "1306958129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 PROGRESS RD",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305405599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 PROGRESS RD",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305405599",
            "telephone_number": "706-635-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIO-MEDICAL APPLICATIONS OF GEORGIA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-08-12",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "SVP & TREASURER",
        "authorized_official_telephone_number": "781-699-9000"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390834310A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FMC DIALYSIS SERVICES OF ELLIJAY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FMC DIALYSIS SERVICES OF ELLIJAY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ellijay, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.