Organization Active NPI

Nna of Georgia, Inc.

Doing business as RCG Lawrenceville

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lawrenceville, GA
National Provider Identifier
1568574382
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
NNA OF GEORGIA, INC.
Doing business as
RCG Lawrenceville
Practice address
350 Philip Blvd
Lawrenceville, GA 30046-8700
Phone
(770) 237-0013
Fax
(770) 237-0015
NPI assigned
Aug 31, 2006
Last updated
Aug 20, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X NU Primary

Addresses

Primary practice location

350 Philip Blvd
Lawrenceville, GA 30046-8700

Mailing address

350 Philip Blvd
Lawrenceville, GA 30046-8700
Phone (770) 237-0013

Other identifiers 1

IdentifierTypeStateIssuer
000698772AMedicaidGA

Other names 1

  • RCG LAWRENCEVILLE Doing business as

National Provider Directory

National Provider Directory

Locations

5105 Jefferson Rd
#A
Athens, GA 30607
Phone (706) 549-6885

1856 Thompson Bridge Rd
#100
Gainesville, GA 30501
Phone (770) 534-6999

350 Philip Blvd
Lawrenceville, GA 30046
Phone (770) 237-0013

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1568574382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 PHILIP BLVD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468700",
            "telephone_number": "770-237-0013",
            "fax_number": "770-237-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PHILIP BLVD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468700",
            "telephone_number": "770-237-0013",
            "fax_number": "770-237-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NNA OF GEORGIA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2006-08-31",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000698772A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RCG LAWRENCEVILLE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RCG LAWRENCEVILLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

  • 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.