Renal Care Group of the South, Inc.

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

RENAL CARE GROUP OF THE SOUTH, INC.

Doing business as

RCG Patrick County

Practice address

221 Rich Creek Dr
Stuart, VA 24171-5027

Phone

(276) 694-8055

Fax

(276) 694-8024

NPI assigned

Aug 31, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Fawcett

Title

Treasurer

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Other names 1

• RCG PATRICK COUNTY Doing business as

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346352168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 RICH CREEK DR",
            "city": "STUART",
            "state": "VA",
            "postal_code": "241715027",
            "telephone_number": "276-694-8055",
            "fax_number": "276-694-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 RICH CREEK DR",
            "city": "STUART",
            "state": "VA",
            "postal_code": "241715027",
            "telephone_number": "276-694-8055",
            "fax_number": "276-694-8024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL CARE GROUP OF THE SOUTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "781-699-9000"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RCG PATRICK COUNTY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pioneer Health Services of Patrick County, Inc.
• Nichole Dawn Pruitt
• Quiet Oak LLC
• Meagan Nichole Radford, FNP-BC
• Kimberley Redd, LPC
• Sandra Robertson, FNP
• Tracie Rogers, RPH
• Katherine Rose, D.C.
• Santera Rehabilitation, Inc
• Elizabeth Ann Shockley, NP

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Stuart, VA
• Providers in Stuart, VA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Virginia

• 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.