Georgia Dialysis Access Center PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

GEORGIA DIALYSIS ACCESS CENTER PC

Practice address

889 2ND St
Macon, GA 31201-6862

Phone

(847) 388-2065

Fax

(866) 720-9740

NPI assigned

Jun 3, 2008

Last updated

Jun 3, 2008By 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

Ludwig Cavaliere, MD

Title

Managing Partner

Phone

(478) 745-5486

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carlos O Martinez, M.D.

  • Nephrology Physician
  • Macon, GA
  • NPI 1841368933

  Multi-Specialty

  NPD (past)
• James Sungmin Sim, MD

  • Nephrology Physician
  • Baton Rouge, LA
  • NPI 1578678405
  NPD (past)

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1508025735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "889 2ND ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312016862",
            "telephone_number": "847-388-2065",
            "fax_number": "866-720-9740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "889 2ND ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312016862",
            "telephone_number": "847-388-2065",
            "fax_number": "866-720-9740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA DIALYSIS ACCESS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "CAVALIERE",
        "authorized_official_first_name": "LUDWIG",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "478-745-5486",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Dept of Human Resources
• Georgia Dept of Human Resources
• Georgia Dept of Human Resources
• Georgia Dermatology &Skin Cancer Center, PC
• Georgia Detox and Recovery Centers, LLC Macon
• Georgia Doctors Foot & Leg Center, LLC
• Georgia Em-I Medical Services PC
• Georgia Em-I Medical Services PC
• Georgia Eye Care Center
• Georgia Family & Care Services, Inc.

• Specialist in Macon, GA
• Providers in Macon, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.