Isd Renal Inc

Primary specialty

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

Legal business name

ISD RENAL INC

Doing business as

Austell Renal Center

Practice address

3642 Marathon Cir
Austell, GA 30106-6821

Phone

(770) 439-4170

Fax

(770) 439-4252

NPI assigned

Dec 12, 2008

Last updated

Feb 12, 2019By 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

James K Hilger

Title

Chief Accounting Officer

Phone

(253) 733-4500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Austell Renal Center Doing business as

Member of 2

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

• Dva Healthcare Renal Care Inc

  dba Central Bamberg Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bamberg, SC
  • NPI 1639131741

  Member Of

  NPD member
• Isd Renal Inc

  dba Willamette Valley Renal Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Oregon City, OR
  • NPI 1023064474

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1427293943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-320-4268",
            "fax_number": "877-238-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3642 MARATHON CIR",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301066821",
            "telephone_number": "770-439-4170",
            "fax_number": "770-439-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISD RENAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-12",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "HILGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "253-733-4500"
    },
    "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": "042477788A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Austell Renal Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Austell Renal Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Integra Clinical Services, LLC-Ga
• Integrity EMS LLC
• Interventional Spine and Pain Management Center, PC (Alliance Spine and Pain Centers)
• Invision
• Julian T Isakow, M.D.
• Frank T Italiano, MD
• Karen Belinda Ivey, FNP-C
• Josephine I Iyabor
• Arlita D Jackson, D.M.D.
• Malia R. Jackson, OTD, OTR/L

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Austell, GA
• Providers in Austell, GA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Georgia

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