Lithonia-Rockdale Dialysis, LLC

Primary specialty

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

Legal business name

LITHONIA-ROCKDALE DIALYSIS, LLC

Doing business as

Renal Care Group Lithonia

Practice address

2701 Evans Mill Rd
Lithonia, GA 30058-7500

Phone

(770) 482-5991

Fax

(770) 482-7457

NPI assigned

Aug 31, 2006

Last updated

Jun 28, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Barry L. Blanton

Title

Vice President

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• RENAL CARE GROUP LITHONIA Doing business as

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 2

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

• Eastside Premier Nephrology & Hypertension PC

  • Nephrology Physician
  • Conyers, GA
  • NPI 1104048651

  Member Of

  NPD member
• Renal Care Group of the South, Inc.

  dba Fresenius Medical Care Danville Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Danville, VA
  • NPI 1528170347

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1447362264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 EVANS MILL RD",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300587500",
            "telephone_number": "770-482-5991",
            "fax_number": "770-482-7457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 EVANS MILL RD",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300587500",
            "telephone_number": "770-482-5991",
            "fax_number": "770-482-7457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITHONIA-ROCKDALE DIALYSIS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "BLANTON",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "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": "798403427A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "RENAL CARE GROUP LITHONIA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RENAL CARE GROUP LITHONIA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lithonia Behavioral Health Inc
• Lithonia Family Eye Care LLC
• Lithonia Pediatric Dentistry-Stonecrest Inc
• Lithonia Restorative and Cosmetic Dental Center
• Lithonia Woundcare Center
• Little Love Healthcare Services LLC
• Eboni Little
• Pamela Yvonne Little, LPC
• LL Virtual Services (Latra Laces)
• Nyia Riche Lloyd

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lithonia, GA
• Providers in Lithonia, 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 Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.