Nra-Valdosta (North), Georgia, LLC

Primary specialty

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

License

ESRD000778 Issued in GA

Legal business name

NRA-VALDOSTA (NORTH), GEORGIA, LLC

Doing business as

Kings Way Dialysis Center

Practice address

4358 Kings Way
Valdosta, GA 31602-6921

Phone

(229) 244-6923

Fax

(229) 244-6958

NPI assigned

Nov 9, 2007

Last updated

Aug 20, 2021By 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 names 1

• KINGS WAY DIALYSIS CENTER Doing business as

Member of 1

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

• National Medical Care, Inc.

  dba Renal Care Center of North Georgia Bma

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Canton, GA
  • NPI 1871605600

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1558541318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4358 KINGS WAY",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316026921",
            "telephone_number": "229-244-6923",
            "fax_number": "229-244-6958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4358 KINGS WAY",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316026921",
            "telephone_number": "229-244-6923",
            "fax_number": "229-244-6958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NRA-VALDOSTA (NORTH), GEORGIA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2007-11-09",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "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": "GA",
            "license": "ESRD000778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KINGS WAY DIALYSIS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• North Oak Family Medicine LLC
• North Oak Family Medicine LLC
• North Valdosta Therapy Services Inc
• Ashleigh Meghann North
• Allison Anne Nowak, OTR/L
• Nra-Valdosta, Georgia, LLC (Valdosta Dialysis Clinic)
• James Nunn, LMFT
• Nurturing Love Inc
• O'Brien Professional Services
• O'Brien Professional Services, Inc.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Valdosta, GA
• Providers in Valdosta, 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 Aug 20, 2021; 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.