Dialysis Care, LLC

Primary specialty

Hemodialysis Registered NurseTaxonomy code 163WH0500X

Legal business name

DIALYSIS CARE, LLC

Practice address

761 Mountain View Dr
Stone Mountain, GA 30083-3547

Phone

(678) 516-0030

Fax

(770) 469-9686

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Gwennette Janaye Claxton, RN

Title

Owner

Phone

(678) 516-0030

Specialties & licenses 1

Addresses

Other names 1

• TLC Dialysis Care, LLC Doing business as

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932268240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 MOUNTAIN VIEW DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833547",
            "telephone_number": "678-516-0030",
            "fax_number": "770-469-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 MOUNTAIN VIEW DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833547",
            "telephone_number": "678-516-0030",
            "fax_number": "770-469-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLAXTON",
        "authorized_official_first_name": "GWENNETTE",
        "authorized_official_middle_name": "JANAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-516-0030",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WH0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Hemodialysis",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLC Dialysis Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Registered Nurse in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.