Dsi Dekalb, LLC

Primary specialty

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

Legal business name

DSI DEKALB, LLC

Doing business as

U.S. Renal Care Dekalb Dialysis

Practice address

4570 Memorial Dr Ste B
Decatur, GA 30032-1444

Phone

(615) 777-8200

NPI assigned

Feb 3, 2015

Last updated

Feb 15, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

U.S. RENAL CARE, INC.As reported in NPPES

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

Authorized official

Name

Thomas L. Weinberg

Title

Authorized Official

Phone

(214) 736-2700

Specialties & licenses 1

Addresses

Other names 1

• U.S. Renal Care Dekalb Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Part of

US Renal Care Inc

Member of 1

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

• Dialysis Newco LLC

  dba U.S. Renal Care Bryan Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bryan, TX
  • NPI 1578839080

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1699165290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 CHURCH ST",
            "address_2": "SUITE 1900",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372192301",
            "telephone_number": "615-777-8200",
            "fax_number": "615-234-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4570 MEMORIAL DR STE B",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300321444",
            "telephone_number": "615-777-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DSI DEKALB, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2015-02-03",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "214-736-2700"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Renal Care Dekalb Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Claire Kairys Droll, CNM
• Drow-Optimum Multispecialty
• Drucilla Moody, LCSW
• Megan Drummond
• Renee L Dryfoos, LCSW, BCD
• DTG II PLLC (BeyondMD)
• Dajane Dubose
• Robert Duckworth
• Tieara Duckworth, PT, DPT
• Dyan Sue Duff, RPH

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Decatur, GA
• Providers in Decatur, 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 Feb 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.