Downtown Warner Robins Dialysis, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

DOWNTOWN WARNER ROBINS DIALYSIS, LLC

Doing business as

Downtown Warner Robins Dialysis

Practice address

1205 Watson Blvd Ste a
Warner Robins, GA 31093-3423

Phone

(478) 719-6971

NPI assigned

Oct 4, 2022

Last updated

Aug 28, 2023By 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

Carlos Martinez, MDNPI 1841368933

Title

President

Phone

(478) 758-4526

Specialties & licenses 2

Addresses

Other names 1

• Downtown Warner Robins Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

DaVita Downtown Warner RobinsCCN 852606

Overall star rating

1.0 of 5

Ownership

Profit

Certified

Jul 19, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

21

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

CLIA laboratory certificates

Locations

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.

• Carlos O Martinez, M.D.

  • Nephrology Physician
  • Macon, GA
  • NPI 1841368933
  NPD Authorized official

Affiliated clinicians 3

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

• Deep Adhikari, M.D.

  • Nephrology Physician
  • Warner Robins, GA
  • NPI 1487821989

  Dialysis facility

  Care Compare affiliation Name & address match
• Reuben Kristian Ellis, M.D.

  • Nephrology Physician
  • Macon, GA
  • NPI 1114969110

  Dialysis facility

  Care Compare affiliation Name & address match
• Carlos O Martinez, M.D.

  • Nephrology Physician
  • Macon, GA
  • NPI 1841368933

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1932823853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 WATSON BLVD STE A",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933423",
            "telephone_number": "478-758-4526",
            "fax_number": "478-745-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 WATSON BLVD STE A",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933423",
            "telephone_number": "478-719-6971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN WARNER ROBINS DIALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-758-4526",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Downtown Warner Robins Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon Behavior Donovan
• Megan Ann Dopson
• Heather H Dorman, OTR/L
• Doso Enterprises, LLC (SonRISE Consulting)
• Jordan Dowd
• Konnie M. Doyle, NP-C
• Michael Daune Doyle, D.D.S.
• Kayla Dozier
• Dr Osh & Associates PC
• Dr. Amy S. Loden

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Warner Robins, GA
• Providers in Warner Robins, 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 Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.