Classic City Dialysis Inc

Primary specialty

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

License

080069004 Issued in GA

Legal business name

CLASSIC CITY DIALYSIS INC

Practice address

2485 Jefferson Road
Athens, GA 30606-2100

Phone

(706) 543-3130

Fax

(706) 543-3215

NPI assigned

Jun 4, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Emad Ahmed, MDNPI 1144394883

Title

President

Phone

(706) 543-3130

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emad Uddin Ahmed, MD

  • Nephrology Physician
  • Athens, GA
  • NPI 1144394883
  NPD (past) Authorized official

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1871729855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485 JEFFERSON ROAD",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062100",
            "telephone_number": "706-543-3130",
            "fax_number": "706-543-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 JEFFERSON ROAD",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062100",
            "telephone_number": "706-543-3130",
            "fax_number": "706-543-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSIC CITY DIALYSIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-04",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "EMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-543-3130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "GA",
            "license": "080069004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "045157",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "11443094883",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00783417",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "66151",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Al Clarke, PHD
• Classic City Anesthesia Associates
• Classic City Cardiology
• Classic City Connect Medical Transport LLC
• Classic City Counseling & Consultation LLC
• Classic City Home Care LLC (Classic City Home Care)
• Classic City Internal Medicine
• Classic City OBGYN LLC
• Classic City Orthodontics
• Classic City Rehab LLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Athens, GA
• Providers in Athens, 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 Mar 7, 2023; 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.