Nephrology Centers of America, LLC

Primary specialty

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

Legal business name

NEPHROLOGY CENTERS OF AMERICA, LLC

Practice address

442 Park West Drive
Grovetown, GA 30813

Phone

(706) 863-3103

Fax

(706) 863-1778

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Don E Williamson, M.D.

Title

President

Phone

(706) 722-6900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598843393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 DANTIGNAC ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012775",
            "telephone_number": "706-722-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 PARK WEST DRIVE",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "30813",
            "telephone_number": "706-863-3103",
            "fax_number": "706-863-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY CENTERS OF AMERICA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-722-6900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "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": "00950617E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Motions Therapy Services LLC
• Stephen Joseph Mouton, PHARMD
• Aleeah Muhammad Washington, LMFT
• Erica Jane Regl Mullins, PT, DPT
• Hanna Assefa Negash, MD
• Charles Nessmith
• Sarah Eloise New, NP
• Glenn Anthony Niles Jr., LPC
• April Noriega, MS
• Shareika Norman

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Grovetown, GA
• Providers in Grovetown, 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 22, 2020; 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.