Dsi Snellville LLC

Primary specialty

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

Legal business name

DSI SNELLVILLE LLC

Doing business as

U.S. Renal Care Snellville Dialysis

Practice address

3370 Sugarloaf Pkwy
Lawrenceville, GA 30044-5478

Phone

(770) 225-0827

Fax

(770) 225-0829

NPI assigned

Sep 15, 2016

Last updated

Sep 15, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

U.S. RENAL CARE, INC.As reported in NPPES

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

Authorized official

Name

Thomas L Weinberg

Title

Chairman

Phone

(214) 736-2700

Specialties & licenses 1

Addresses

Other names 1

• U.S. Renal Care Snellville Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

USRC Snellville DialysisCCN 852521

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Feb 22, 2017

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

13

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

CLIA laboratory certificates

Part of

US Renal Care Inc

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Dialysis Newco LLC

  dba U.S. Renal Care Bryan Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bryan, TX
  • NPI 1578839080

  Member Of

  NPD member

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.

• Abhinandan Reddy Pakanati, M.D

  • Nephrology Physician
  • Snellville, GA
  • NPI 1710256912
  NPD (past)

Affiliated clinicians 2

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

• Divakar Jammalamadaka, MD

  • Nephrology Physician
  • Snellville, GA
  • NPI 1265699920

  Dialysis facility

  Care Compare affiliation Name & address match
• Abhinandan Reddy Pakanati, M.D

  • Nephrology Physician
  • Snellville, GA
  • NPI 1710256912

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1952859209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5851 LEGACY CIR",
            "address_2": "SUITE 900",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245966",
            "telephone_number": "214-736-2700",
            "fax_number": "214-736-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 SUGARLOAF PKWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300445478",
            "telephone_number": "770-225-0827",
            "fax_number": "770-225-0829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DSI SNELLVILLE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2016-09-15",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "214-736-2700"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Renal Care Snellville Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Driven From Within
• DRM Consulting Services, Inc
• Clarissa Drogosch, NP
• DRS. Pafford and Browning DMD, PC (Smile Gwinnett)
• Kimberly Drummond, PMHNP-BC
• Azure Duan, L.AC., DIPL. O.M.
• Amy P Duane, PAAA
• Prescott B Duane, PAAA
• Phoebie Dubreus
• Jordan Douglas Duhon, DO

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lawrenceville, GA
• Providers in Lawrenceville, 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 Sep 15, 2016; 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.