Organization Active NPI

Arthur M. Blank Hospital, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Atlanta, GA
National Provider Identifier
1881766749
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
ARTHUR M. BLANK HOSPITAL, INC.
Practice address
2220 N Druid Hills Rd NE
Atlanta, GA 30329-3117
Phone
(404) 785-6000
NPI assigned
Nov 15, 2006
Last updated
Feb 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Authorized official

Name
Managed Care
Title
Manager, Provider Enrollment
Phone
(404) 785-7876

Specialties & licenses 1

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

Addresses

Primary practice location

2220 N Druid Hills Rd NE
Atlanta, GA 30329-3117

Mailing address

1575 NE Expressway
Brookhaven, GA 30329-2401
Phone (404) 785-7876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140206001058 GA Part A Provider - End-Stage Renal Disease Facility (ESRD) 2567545098 Practice locations: Atlanta, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881766749. Details of each certification follow.

  • CCN 112322 End-stage renal disease facility · Active · Name & address match · Details

End-stage renal disease facility certification: CCN 112322

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ARTHUR M BLANK HOSPITAL
Certification status
Active
Provider type (POS)
End-stage renal disease facility
Participating since
May 14, 2025
Last certification
May 14, 2025
Ownership / control type
Not for Profit
Facility address
2220 N Druid Hills Rd NE
Atlanta, GA 30329

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Arthur M. Blank HospitalCCN 852613
Ownership
Non-profit
Certified
May 14, 2025
Dialysis stations
12

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

National Provider Directory

National Provider Directory
Tax ID family
Arthur M Blank Hospital in6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

2015 Upper Gate Dr NE
Ste 100
Atlanta, GA 30322

2174 N Druid Hills Rd NE
Ste 110
Atlanta, GA 30329

2174 N Druid Hills Rd NE
Ste 140
Atlanta, GA 30329

2174 N Druid Hills Rd NE
Ste 410
Atlanta, GA 30329

2174 N Druid Hills Rd NE
Ste 510
Atlanta, GA 30329

3618 Sandy Plains Rd
#100
Marietta, GA 30066
Phone (404) 785-8260

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1881766749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 NE EXPRESSWAY",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303292401",
            "telephone_number": "404-785-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 N DRUID HILLS RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293117",
            "telephone_number": "404-785-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTHUR M. BLANK HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "CARE",
        "authorized_official_first_name": "MANAGED",
        "authorized_official_title_or_position": "MANAGER, PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "404-785-7876"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.