Organization Active NPI

Nna of Georgia, Inc.

Doing business as Fresenius Medical Care Clayton Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Clayton, GA
National Provider Identifier
1871741397
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
NNA OF GEORGIA, INC.
Doing business as
Fresenius Medical Care Clayton Dialysis
Practice address
108 Plaza Way
Clayton, GA 30525-5421
Phone
(706) 782-0207
Fax
(709) 782-0285
NPI assigned
Sep 9, 2008
Last updated
Jun 19, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

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

Authorized official

Name
Mark Fawcett
Title
Treasurer
Phone
(781) 699-9000

Specialties & licenses 1

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

Addresses

Primary practice location

108 Plaza Way
Clayton, GA 30525-5421

Mailing address

108 Plaza Way
Clayton, GA 30525-5421
Phone (706) 782-0207

Other names 1

  • Fresenius Medical Care Clayton Dialysis Doing business as

National Provider Directory

National Provider Directory

Member of 1

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": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434672000000",
    "number": "1871741397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 PLAZA WAY",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305255421",
            "telephone_number": "706-782-0207",
            "fax_number": "709-782-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 PLAZA WAY",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305255421",
            "telephone_number": "706-782-0207",
            "fax_number": "709-782-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NNA OF GEORGIA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2008-09-09",
        "last_updated": "2015-06-19",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "781-699-9000"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresenius Medical Care Clayton Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clayton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; 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.