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 Appalachian Ave
Blairsville, GA 30512-2271

Phone

(706) 745-2111

NPI assigned

Oct 7, 2016

Last updated

Jan 10, 2017By 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

Chief Financial Officer

Phone

(706) 745-2111

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• UNION COUNTY DIALYSIS CENTER Doing business as

Listed as

Union County DialysisCCN 112680

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Apr 24, 2000

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

17

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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 1801886759
  NPD tax ID

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Najam Sabreen, MD

  • Nephrology Physician
  • Canton, GA
  • NPI 1699701995

  Dialysis facility

  Care Compare affiliation Name & address match
• Sorin Vainer, M.D.

  • Specialist
  • Atlanta, GA
  • NPI 1235152927

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1881144301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 HOSPITAL RD",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305123139",
            "telephone_number": "706-745-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 APPALACHIAN AVE",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305122271",
            "telephone_number": "706-745-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION COUNTY DIALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-07",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "COLBY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "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": "000876048B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112680",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "112680",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1102680",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNION COUNTY DIALYSIS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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)
• Union County Hospital Authority (Tri-State Rheumatology Associates)

• 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 Jan 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.