Union County Dialysis, LLC

Primary specialty

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

License

ESRD001173 Issued in GA

Legal business name

UNION COUNTY DIALYSIS, LLC

Doing business as

Union County Dialysis Center

Practice address

72 Appalachin Ave
Blairsville, GA 30512

Phone

(706) 835-1925

Fax

(706) 835-1724

NPI assigned

Oct 24, 2005

Last updated

Jul 11, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Nicholas Colby Townsend

Title

Financial Manager

Phone

(706) 745-2111

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Union County Dialysis Center Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Tax ID family

Union County Dialysis Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Union County Dialysis, LLC

  dba Union County Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Blairsville, GA
  • NPI 1881144301
  NPD tax ID

Member of 1

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

• Union County Hospital Authority

  dba Union General Hospital

  • General Acute Care Hospital
  • Blairsville, GA
  • NPI 1487684122

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468195200000",
    "number": "1801886759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 HOSPITAL ROAD",
            "address_2": "ATTN: ADMINISTRATION",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "30512",
            "telephone_number": "706-745-2111",
            "fax_number": "706-439-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 APPALACHIN AVE",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "30512",
            "telephone_number": "706-835-1925",
            "fax_number": "706-835-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION COUNTY DIALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-24",
        "last_updated": "2016-07-11",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "COLBY",
        "authorized_official_title_or_position": "FINANCIAL MANAGER",
        "authorized_official_telephone_number": "706-745-2111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "GA",
            "license": "ESRD001173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1102680",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000876048B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112680",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Union County Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ray Thomas Townsend, PA-C
• Trinity Primary Care LLC
• Andrea D Turner, NP
• John-Mark Turner, O.D.
• Marjorie Pringle Turner, MD
• Union County Dialysis, LLC (Union County Dialysis Center)
• Union County Health Department
• Union County Health Department
• Union County Hospital Authority
• Union County Hospital Authority (Union General Orthopedics)

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Blairsville, GA
• Providers in Blairsville, 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 Jul 11, 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.