NPIMap

Organization Active NPI

Dsi Renal Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Covington, GA
National Provider Identifier
1699720011
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
DSI RENAL INC
Practice address
4179 Baker St NE
Covington, GA 30014-1405
Phone
(770) 385-4015
Fax
(770) 385-6701
NPI assigned
May 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Authorized official

Name
Mrs. Gretchen K Barr
Title
VP of Reimbursement
Phone
(615) 467-0134

Specialties & licenses 1

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

Addresses

Primary practice location

4179 Baker St NE
Covington, GA 30014-1405

Mailing address

511 Union St
Suite 1800
Nashville, TN 37219-1733
Phone (615) 467-0134

Other names 1

  • NRI Covington Doing business as

National Provider Directory

National Provider Directory

Member of 3

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

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1699720011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 UNION ST",
            "address_2": "SUITE 1800",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372191733",
            "telephone_number": "615-467-0134",
            "fax_number": "615-234-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4179 BAKER ST NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300141405",
            "telephone_number": "770-385-4015",
            "fax_number": "770-385-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DSI RENAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "BARR",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "VP OF REIMBURSEMENT",
        "authorized_official_telephone_number": "615-467-0134",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": "NRI Covington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.