Dca of Calhoun LLC

Primary specialty

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

Legal business name

DCA OF CALHOUN LLC

Doing business as

U S Renal Care Calhoun Dialysis

Practice address

105 Professional PL SE
Calhoun, GA 30701-7050

Phone

(706) 624-4497

Fax

(706) 624-4498

NPI assigned

May 13, 2006

Last updated

Jun 21, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

U S RENAL CARE INCAs reported in NPPES

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

Authorized official

Name

Mr. Thomas L Weinberg

Title

Vice President & Secretary

Phone

(214) 736-2700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• U S Renal Care Calhoun Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

USRC CalhounCCN 112770

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Jul 28, 2006

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

15

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

CLIA laboratory certificates

Part of

US Renal Care Inc

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Rafael O Duchesne, M.D.

  • Nephrology Physician
  • Dalton, GA
  • NPI 1588657332

  Dialysis facility

  Care Compare affiliation Name & address match
• Muhammad Rashid Ishaque, M.D.

  • Nephrology Physician
  • Cartersville, GA
  • NPI 1255528949

  Dialysis facility

  Care Compare affiliation Name & address match
• Frank David Newby, M.D., PH. D

  • Nephrology Physician
  • Dalton, GA
  • NPI 1801889696

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1497706527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19119",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724036601",
            "telephone_number": "870-931-5400",
            "fax_number": "870-931-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 PROFESSIONAL PL SE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307017050",
            "telephone_number": "706-624-4497",
            "fax_number": "706-624-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DCA OF CALHOUN LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U S RENAL CARE INC",
        "enumeration_date": "2006-05-13",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT & SECRETARY",
        "authorized_official_telephone_number": "214-736-2700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000895309H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U S Renal Care Calhoun Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Davidson, EDD, LPC
• Hope Elizabeth Davis, WHNP-BC
• Nichole Davis, CSFA
• Rochelle Lynn Davis, DC
• Tygeana A Davis, PT, DPT
• William Carl Deal, M.S., CCC-SLP
• Diego Gabriel Deharo, PA-C
• Elisabeth Lynn Dempsey, C.R.N.A.
• Blakeley R Derrick, DC
• Designed to Nurture Wellness Studio LLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Calhoun, GA
• Providers in Calhoun, 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 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.