Organization Active NPI

Norcross Dialysis Center, LLC

Doing business as Fresenius Medical Care Norcross

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Norcross, GA
National Provider Identifier
1912019738
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
NORCROSS DIALYSIS CENTER, LLC
Doing business as
Fresenius Medical Care Norcross
Practice address
4650 Jimmy Carter Blvd
Suite 111-113
Norcross, GA 30093-3761
Phone
(678) 937-0055
NPI assigned
Aug 31, 2006
Last updated
May 15, 2008By 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 May 15, 2008

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 Primary

Addresses

Primary practice location

4650 Jimmy Carter Blvd
Suite 111-113
Norcross, GA 30093-3761

Mailing address

4650 Jimmy Carter Blvd
Suite 111-113
Norcross, GA 30093-3761

Other names 1

  • Fresenius Medical Care Norcross 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.

Locations

4650 Jimmy Carter Blvd
Ste 111113
Norcross, GA 30093
Phone (678) 937-0055

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1912019738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 JIMMY CARTER BLVD",
            "address_2": "SUITE 111-113",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300933761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 JIMMY CARTER BLVD",
            "address_2": "SUITE 111-113",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300933761",
            "telephone_number": "678-937-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORCROSS DIALYSIS CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-05-15",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresenius Medical Care Norcross",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.