Active NPI
Bio-Medical Applications of Georgia, Inc.
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Calhoun, GA
National Provider Identifier
1780196501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- BIO-MEDICAL APPLICATIONS OF GEORGIA, INC.
- Practice address
- 857 Curtis Pkwy SE
Calhoun, GA 30701-3688 - Phone
- (706) 602-3866
- Fax
- (706) 602-3871
- NPI assigned
- Nov 2, 2017
- Organization subpart
- Yes
- Parent organization
- FRESENIUS MEDICAL CARE HOLDINGS, INC.
Authorized official
NPPES NPI Registry- Name
- Barry L. Blanton
- Title
- Vice President
- Phone
- (781) 699-9000
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bristol, TN
- NPI 1477570117
Member Of
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180209000333 | GA | Part a Provider - End-Stage Renal Disease Facility (ESRD) | 4183533771 | Practice locations: Calhoun, GA |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
857 Curtis Pkwy SE
Calhoun, GA 30701-3688
Mailing address
857 Curtis Pkwy SE
Calhoun, GA 30701-3688
Phone (706) 602-3866
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003170120A | Medicaid | GA |
Other names 1
NPPES NPI Registry- FRESENUIS KIDNEY CARE GORDON COUNTY
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 20, 2023.
{
"created_epoch": "1509580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697760000000",
"number": "1780196501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "857 CURTIS PKWY SE",
"city": "CALHOUN",
"state": "GA",
"postal_code": "307013688",
"telephone_number": "706-602-3866",
"fax_number": "706-602-3871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "857 CURTIS PKWY SE",
"city": "CALHOUN",
"state": "GA",
"postal_code": "307013688",
"telephone_number": "706-602-3866",
"fax_number": "706-602-3871"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIO-MEDICAL APPLICATIONS OF GEORGIA, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
"enumeration_date": "2017-11-02",
"last_updated": "2023-10-20",
"certification_date": "2023-10-20",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003170120A",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "FRESENUIS KIDNEY CARE GORDON COUNTY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Calhoun, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.